Euroasian journal of hepato-gastroenterology

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VOLUME 10 , ISSUE 1 ( January-June, 2020 ) > List of Articles

Original Article

Management of Bile Duct Injuries: A 6-year Experience in a High Volume Referral Center

Simay Dal Çavuşoğlu, Mutlu Doğanay, Birkan Birben, Gökhan Akkurt, Özgur Akgul, Mehmet Keşkek

Keywords : Bile duct, Cholecystectomy, Endoscopy

Citation Information : Çavuşoğlu SD, Doğanay M, Birben B, Akkurt G, Akgul Ö, Keşkek M. Management of Bile Duct Injuries: A 6-year Experience in a High Volume Referral Center. Euroasian J Hepatogastroenterol 2020; 10 (1):22-26.

DOI: 10.5005/jp-journals-10018-1309

License: CC BY-NC 4.0

Published Online: 22-08-2020

Copyright Statement:  Copyright © 2020; The Author(s).


Objectives: The aim of our study was to determine operative and nonoperative treatments performed in bile duct injuries and the effect of a multidisciplinary approach on the treatment. Background: Bile duct injuries may lead to morbidities such as biliary leakage, peritonitis, and mortality. Materials and methods: A total of 83 patients with biliary complications (37 patients with iatrogenic bile duct injury referred to our clinic from other centers were also included in this study) were evaluated. Results: Of the operated 6,663 patients, iatrogenic bile duct injury occurred in 46 (0.69%) of these patients. The most common type of injury was Strasberg type A injury, which was found in 48 (57.83%) patients. The time interval between the diagnosis and initiation of treatment after the operation was shorter in patients with an inserted cavity drainage catheter (p < 0.05). Of the patients with bile duct injury, 32.6% received surgical and 62.6% endoscopic treatment, while 4.8% were followed-up without intervention. The rate of mortality was found to be 2.4%. Conclusion: Time interval to diagnosis is of great importance for management of the patients.

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