Quality of Life in Bile Duct Injury: 1-, 5-, and 10-year Outcomes After Surgical Repair

Background Quality of life after bile duct injury is a relevant health issue besides physician-oriented outcomes. A prospective study was performed to explore short- and long-term outcomes after surgical repair. Method We studied a cohort of patients with Strasberg E injuries who underwent Roux-en-Y...

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Bibliographic Details
Published in:Journal of gastrointestinal surgery 2014-12, Vol.18 (12), p.2089-2094
Main Authors: Dominguez-Rosado, Ismael, Mercado, Miguel Angel, Kauffman, Christopher, Ramirez-del Val, Fernando, Elnecavé-Olaiz, Alejandro, Zamora-Valdés, Daniel
Format: Article
Language:English
Subjects:
Adult
Anastomosis, Surgical - methods
Bile Duct Diseases - epidemiology
Bile Duct Diseases - psychology
Bile Duct Diseases - surgery
Bile ducts
Bile Ducts - injuries
Bile Ducts - surgery
Cholecystectomy
Cholecystectomy, Laparoscopic - adverse effects
Female
Forecasting
Gastroenterology
Health surveys
Humans
Injuries
Laparoscopy
Male
Medicine
Medicine & Public Health
Mental health
Middle Aged
Original Article
Patients
Postoperative Complications - epidemiology
Postoperative Complications - psychology
Postoperative Period
Prognosis
Prospective Studies
Quality of Life
Questionnaires
Reoperation
Self image
Surgeons
Surgery
Surgical outcomes
Surveys and Questionnaires
Treatment Outcome
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Summary:Background Quality of life after bile duct injury is a relevant health issue besides physician-oriented outcomes. A prospective study was performed to explore short- and long-term outcomes after surgical repair. Method We studied a cohort of patients with Strasberg E injuries who underwent Roux-en-Y jejunal anastomosis from 1990 to 2008. The Short Form Health Survey (SF-36) was selected as the appropriate quality of life assessment instrument. Two groups were comprised: Group I included patients with 10-year follow-up after surgery. Group II included patients operated during 2008 with preoperative 1- and 5-year questionnaires. Results Group I patients ( N  = 41) were operated from 1990 to 2003 and Group II ( N  = 44) during 2008. There is a significant improvement in quality of life after the first year of repair in all domains. Readmissions (48 vs 25 %; p  
ISSN:1091-255X
1873-4626
DOI:10.1007/s11605-014-2671-5