Evaluating Surgery Outcomes in Patients with Bile Duct Injury Following Cholecystectomy According to Referral Pattern; A Five-Year Study
Background: Bile duct injury is one of the rare injuries in cholecystectomy that is associated with serious complications. This study aimed to evaluate and compare early and late referral patterns in patients with bile duct injury following cholecystectomy. Methods: In this descriptive cross-sectio...
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| Format: | Article |
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Isfahan University of Medical Sciences
2018-02-01
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| Series: | مجله دانشکده پزشکی اصفهان |
| Subjects: | |
| Online Access: | http://jims.mui.ac.ir/index.php/jims/article/view/8935 |
| _version_ | 1797720041728245760 |
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| author | Behnam Sanei Amir Aria Hamid Reza Jafari |
| author_facet | Behnam Sanei Amir Aria Hamid Reza Jafari |
| author_sort | Behnam Sanei |
| collection | DOAJ |
| description | Background: Bile duct injury is one of the rare injuries in cholecystectomy that is associated with serious complications. This study aimed to evaluate and compare early and late referral patterns in patients with bile duct injury following cholecystectomy.
Methods: In this descriptive cross-sectional study, 64 patients with bile duct injury following cholecystectomy were enrolled into the study according to the inclusion and exclusion criteria. The patients were divided into two groups according to the types of bile duct injuries (based on early and late referral). The postoperative results were evaluated in two groups.
Findings: Postoperative complications such as bile duct dilatation (P < 0.001), pruritus (P < 0.001), and cholangitis (P = 0.020) were significantly higher in the late referral group than early referral group. In addition, mean values of aspartate transaminase (AST) and alanine transaminase (ALT) in the late referral group were significantly higher than early referral group, too (P = 0.001 and P = 0.002, respectively).
Conclusion: If patients with bile duct injury be diagnosed and referred at early stages (early referral), postoperative complications and duration of complication reduce significantly in these patients. |
| first_indexed | 2024-03-12T09:13:37Z |
| format | Article |
| id | doaj.art-3384d7e906654dc08f0f80d29d0415c3 |
| institution | Directory Open Access Journal |
| issn | 1027-7595 1735-854X |
| language | fas |
| last_indexed | 2024-03-12T09:13:37Z |
| publishDate | 2018-02-01 |
| publisher | Isfahan University of Medical Sciences |
| record_format | Article |
| series | مجله دانشکده پزشکی اصفهان |
| spelling | doaj.art-3384d7e906654dc08f0f80d29d0415c32023-09-02T14:52:08ZfasIsfahan University of Medical Sciencesمجله دانشکده پزشکی اصفهان1027-75951735-854X2018-02-01354611867187210.22122/jims.v35i461.89352780Evaluating Surgery Outcomes in Patients with Bile Duct Injury Following Cholecystectomy According to Referral Pattern; A Five-Year StudyBehnam Sanei0Amir Aria1Hamid Reza Jafari2Associate Professor, Department of Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranStudent of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranGeneral Practitioner, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranBackground: Bile duct injury is one of the rare injuries in cholecystectomy that is associated with serious complications. This study aimed to evaluate and compare early and late referral patterns in patients with bile duct injury following cholecystectomy. Methods: In this descriptive cross-sectional study, 64 patients with bile duct injury following cholecystectomy were enrolled into the study according to the inclusion and exclusion criteria. The patients were divided into two groups according to the types of bile duct injuries (based on early and late referral). The postoperative results were evaluated in two groups. Findings: Postoperative complications such as bile duct dilatation (P < 0.001), pruritus (P < 0.001), and cholangitis (P = 0.020) were significantly higher in the late referral group than early referral group. In addition, mean values of aspartate transaminase (AST) and alanine transaminase (ALT) in the late referral group were significantly higher than early referral group, too (P = 0.001 and P = 0.002, respectively). Conclusion: If patients with bile duct injury be diagnosed and referred at early stages (early referral), postoperative complications and duration of complication reduce significantly in these patients.http://jims.mui.ac.ir/index.php/jims/article/view/8935CholecystectomyBile duct injuryReferral patternsPostoperative complications |
| spellingShingle | Behnam Sanei Amir Aria Hamid Reza Jafari Evaluating Surgery Outcomes in Patients with Bile Duct Injury Following Cholecystectomy According to Referral Pattern; A Five-Year Study مجله دانشکده پزشکی اصفهان Cholecystectomy Bile duct injury Referral patterns Postoperative complications |
| title | Evaluating Surgery Outcomes in Patients with Bile Duct Injury Following Cholecystectomy According to Referral Pattern; A Five-Year Study |
| title_full | Evaluating Surgery Outcomes in Patients with Bile Duct Injury Following Cholecystectomy According to Referral Pattern; A Five-Year Study |
| title_fullStr | Evaluating Surgery Outcomes in Patients with Bile Duct Injury Following Cholecystectomy According to Referral Pattern; A Five-Year Study |
| title_full_unstemmed | Evaluating Surgery Outcomes in Patients with Bile Duct Injury Following Cholecystectomy According to Referral Pattern; A Five-Year Study |
| title_short | Evaluating Surgery Outcomes in Patients with Bile Duct Injury Following Cholecystectomy According to Referral Pattern; A Five-Year Study |
| title_sort | evaluating surgery outcomes in patients with bile duct injury following cholecystectomy according to referral pattern a five year study |
| topic | Cholecystectomy Bile duct injury Referral patterns Postoperative complications |
| url | http://jims.mui.ac.ir/index.php/jims/article/view/8935 |
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