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Quality-of-life after bile duct injury repaired by hepaticojejunostomy: a national cohort study
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.ORCID iD: 0000-0003-1732-168X
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2020 (English)In: Scandinavian Journal of Gastroenterology, ISSN 0036-5521, E-ISSN 1502-7708, Vol. 55, no 9, p. 1087-1092Article in journal (Refereed) Published
Abstract [en]

Objectives: Reports on quality-of-life (QoL) after bile duct injury (BDI) show conflicting results. The aim of this cohort study was to evaluate QoL stratified according to type of treatment.

Methods: QoL assessment using the SF-36 (36-item short form health survey) questionnaire. Patients with post-cholecystectomy BDI needing hepaticojejunostomy (HJ) were compared to all other treatments (BDI repair) and to patients without BDI at cholecystectomy (controls).

Results: Patients needing a HJ after BDI reported reduced long-term QoL irrespective of time for diagnosis and repair in both the physical (PCS;p < .001) and mental (MCS;p < .001) domain compared to both controls and patients with less severe BDI. QoL was comparable for BDI repair (n = 86) and controls (n = 192) in both PCS (p = .171) and MCS (p = .654). As a group, patients with BDI (n = 155) reported worse QoL than controls, in both the PCS (p < .001) and MCS (p = .012). Patients with a BDI detected intraoperatively (n = 124) reported better QoL than patients with a postoperative diagnosis. Patients with an immediate intraoperative repair (n = 99), including HJ, reported a better long-term QoL compared to patients subjected to a later procedure (n = 54).

Conclusions: Patients with postoperative diagnosis and patients with BDIs needing biliary reconstruction with HJ both reported reduced long-term QoL.

Place, publisher, year, edition, pages
Taylor & Francis, 2020. Vol. 55, no 9, p. 1087-1092
Keywords [en]
Quality-of-life, SF-36, bile duct injury, BDI, cholecystectomy, hepaticojejunostomy
National Category
Surgery
Identifiers
URN: urn:nbn:se:umu:diva-174500DOI: 10.1080/00365521.2020.1800076ISI: 000555211200001PubMedID: 32735151Scopus ID: 2-s2.0-85088979185OAI: oai:DiVA.org:umu-174500DiVA, id: diva2:1461088
Available from: 2020-08-26 Created: 2020-08-26 Last updated: 2023-03-24Bibliographically approved

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Hemmingsson, Oskar

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