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
Cholecystectomy, Endoscopy,Bile duct
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.
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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