Long-term results of large diameter hepaticojejunostomy for treatment of Bile Duct Injuries following cholecystectomy.

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dc.contributor.authorAkaraviputh, Ten_US
dc.contributor.authorBoonnuch, Wen_US
dc.contributor.authorLohsiriwat, Ven_US
dc.contributor.authorMethasate, Aen_US
dc.contributor.authorChinswangwatanakul, Ven_US
dc.contributor.authorLert-akayamanee, Nen_US
dc.contributor.authorLohsiriwat, Den_US
dc.date.accessioned2009-05-27T20:24:54Z
dc.date.available2009-05-27T20:24:54Z
dc.date.issued2006-05-08en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractOBJECTIVE: Bile Duct Injury (BDI) is one of the most serious complications of cholecystectomy. The authors analyzed the clinical presentation, surgical management and long-term outcome of 19 patients presenting with iatrogenic major BDIs (Straburg type E) following cholecystectomy who underwent Roux-en-Y hepaticojejunostomy. MATERIAL AND METHOD: Between 1992 and 2005, 19 patients with major BDIs (Strasberg type E) following cholecystectomy were included. Operative notes and charts of all patients were reviewed systematically. A follow-up examination of each patient was performed after a median of 22 months (range 1-120). RESULTS: Twelve patients presented with ascending cholangitis, two patients were referred to the hospital with biliary-cutaneous fistula and five patients (26.3%) were identified at the time of operations. All patients were treated with Roux-en-Y hepaticojejunostomy with at least 2 cm of the diameter of the biliary-enteric anastomosis. There was no postoperative mortality. Postoperative complication was found in 5 patients (26.3%). Until now, during the follow-up, neither clinical nor biochemical evidence of recurrent cholangitis has been found. CONCLUSION: Major BDIs are associated with high morbidity rate and prolonged hospitalization. Early detection and referral to an experienced center is crucial in the management of these patients. Roux-en-Y hepaticojejunostomy with large diameter of the biliary-enteric anastomosis is the surgical procedure of choice with good long-term outcome.en_US
dc.description.affiliationDivision of General Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. sitak@mahidol.ac.then_US
dc.identifier.citationAkaraviputh T, Boonnuch W, Lohsiriwat V, Methasate A, Chinswangwatanakul V, Lert-akayamanee N, Lohsiriwat D. Long-term results of large diameter hepaticojejunostomy for treatment of Bile Duct Injuries following cholecystectomy. Journal of the Medical Association of Thailand. 2006 May; 89(5): 657-62en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/42954
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAnastomosis, Roux-en-Y --methodsen_US
dc.subject.meshAnastomosis, Surgical --methodsen_US
dc.subject.meshBile Ducts --injuriesen_US
dc.subject.meshCholecystectomy --adverse effectsen_US
dc.subject.meshFemaleen_US
dc.subject.meshHepatic Duct, Common --surgeryen_US
dc.subject.meshHumansen_US
dc.subject.meshIatrogenic Diseaseen_US
dc.subject.meshJejunostomyen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPostoperative Complicationsen_US
dc.titleLong-term results of large diameter hepaticojejunostomy for treatment of Bile Duct Injuries following cholecystectomy.en_US
dc.typeJournal Articleen_US
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