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

Mercado, Miguel Ángel; Kauffman, Christopher P.; Val, Fernando Ramirez-Del; Elnecavé-Olaiz, Alejandro; Zamora-Valdés, Daniel

doi:10.1007/s11605-014-2671-5

Cited by 17 publications

(12 citation statements)

References 14 publications

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“…Although BDIs have been consistently classified using Strasberg classification for nearly two decades, the outcome reporting has not been standardized much due to the lack of uniform agreement on the grading of various outcomes and this has led to difficulties in comparing different series to one another [ 10 , 14 ]. Moreover, the effect of BDI on quality of life (QOL) has been controversial, which might stem from lack of standardized outcome reporting [ 15 – 21 ].…”

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confidence: 99%

Outcomes and quality of life after major bile duct injury in long-term follow-up

et al. 2020

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Introduction Recently new standards for reporting outcomes of bile duct injury (BDI) have been proposed. It is unclear how these treatment outcomes are reflected in quality of life (QOL). The aim of this study was to report outcomes and QOL after repair of major BDI and compare repairs by hepatobiliary surgeon to repairs by non-hepatobiliary surgeons. Methods This was a retrospective study of patients treated for major (Strasberg E-type) BDI after cholecystectomy at a tertiary hepatobiliary center. Outcomes were assessed using Cho-Strasberg proposed standards. QOL was assessed using Short Form Health Survey (SF-36) and the gastrointestinal QOL-index (GIQLI). Patients undergoing uneventful cholecystectomy matched by age, urgency, and duration of follow-up were used as controls. Results Fifty-two patients with major BDI treated between 2000 and 2016 were included (42% male, median age 53 years). Thirty-seven (71%) patients attained primary patency (29 (83%) if primarily operated by a hepatobiliary surgeon). Actuarial primary patency rate (grade A result) at 1, 3, and 5 years was 58%, 56%, and 53% in the whole cohort, and 83%, 80%, and 80% in patients primary treated by a hepatobiliary surgeon, respectively. At 3-year follow-up 6 (11.5%) patients obtained grade B, 10 (19.2%) grade C, and 7 (13.5%) grade D result. QOL was similar in patients with BDI and controls (median SF-36 physical component 51.7 and 53.6, p = 1.0, mental component 53.3 and 53.4, p = 1.0, GIQLI 109.0 and 123.0, p = 0.174, respectively) at median 90 (IQR 70–116) months from cholecystectomy. QOL was similar regardless of outcome grade. Conclusion First attempt to repair a severe BDI should be undertaken by a hepatobiliary surgeon. However, long-term QOL is not affected even by severe BDI, and QOL is not associated with the grade of the outcome.

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confidence: 99%

Outcomes and quality of life after major bile duct injury in long-term follow-up

et al. 2020

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“…While there are numerous publications on BDIs, only 12 have investigated HRQoL after BDI. 16,[28][29][30][31][32][33][34][35][36][37][38] Assessing HRQoL is important and relevant as this quantifies the impact and consequences of a BDI from the patient's perspective, reflects self-perception of well-being and considers functionality or relief of a particular symptom, emotional status, social role, and mental health. 39 Previous studies on HRQoL outcome after BDI have reported discordant results, with some showing no difference between LC-BDI patients and those who had an uneventful LC, while others report significant long-term reductions in both physical and mental HRQoL.…”

Section: Perspectivementioning

confidence: 99%

“…40 This discordance may be due to underpowered designs, sample selection, selection bias and inclusion of heterogeneous populations treated with either endoscopy, interventional radiology or surgery. 31 In the first detailed analysis of the impact of LC-BDI on HRQoL, the Amsterdam group used the Short Form 36 Health Survey ® (SF-36) and reported worse physical and mental HRQoL compared to an uncomplicated LC cohort and average general population values. 30 These findings were later replicated in an expanded sample by the same group and were similar to a report from Moore et al, showing worse SF-36 physical and mental HRQoL in BDI patients compared with LC patients.…”

Section: Perspectivementioning

confidence: 99%

The tangible consequences and intangible implications of laparoscopic cholecystectomy-associated bile duct injuries

Lindemann

Jonas

2020

S. Afr. j. surg.

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“…Quality of life improves significantly after the first year of surgical repair, reaching a plateau at five years [14]. With a minimum of five years of follow-up, the QoL after surgical biliary reconstruction compares favorably with that of patients undergoing uneventful cholecystectomy [15].…”

Section: Research Article Peer Reviewed | Open Access Wwwijhpdcommentioning

confidence: 99%

Quality of life after repair of iatrogenic bile duct injury of postcholecystectomy Filipino patients

Perez¹,

Zamora²

2020

IJHPD

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Aims: The estimated incidence of bile duct injuries (BDIs) has increased ranging from 0.4% to 0.7% since global recognition of laparoscopic cholecystectomy as a standard procedure. Bile duct injuries are associated with increased morbidity and mortality, as well as substantial health care costs, and malpractice litigation claims. This study aims to determine the quality of life (QoL) of Filipino patients after repair of BDIs incurred from their previous laparoscopic or open cholecystectomies. Methods: A total of 22 patients post-repair of BDIs and 22 age-and sex-matched patients who had unremarkable cholecystectomies from 1997 to 2017 were recruited for this study. The patients were requested to answer a survey on QoL using RAND 36-Item Health Survey 1.0, a validated survey which includes a multi-item scale that assesses eight health concepts. Results: Patients with BDIs had lower scores in all domains compared to non-BDI group. Physical functioning and role limitations due to physical health are statistically significant (p values 0.0473 and 0.0025). Conclusion: The effect of BDI is considerable and bears an impact on a patient's health and well-being. Physical functioning and

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

Abstract: Quality of life improves significantly after the first year of surgical repair, reaching a plateau at 5 years. No correlation exists with physician-centered outcomes.

Cited by 17 publications

References 14 publications

Outcomes and quality of life after major bile duct injury in long-term follow-up

Outcomes and quality of life after major bile duct injury in long-term follow-up

The tangible consequences and intangible implications of laparoscopic cholecystectomy-associated bile duct injuries

Quality of life after repair of iatrogenic bile duct injury of postcholecystectomy Filipino patients

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