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Quality-of-life after bile duct injury repaired by hepaticojejunostomy : a national cohort study

Sturesson, Christian LU ; Hemmingsson, Oskar ; Månsson, Christopher ; Sandström, Per ; Strömberg, Cecilia ; Taflin, Helena and Rystedt, Jenny LU (2020) In Scandinavian Journal of Gastroenterology 55(9). p.1087-1092
Abstract

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... (More)

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.

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author
; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
BDI, bile duct injury, cholecystectomy, hepaticojejunostomy, Quality-of-life, SF-36
in
Scandinavian Journal of Gastroenterology
volume
55
issue
9
pages
6 pages
publisher
Taylor & Francis
external identifiers
  • scopus:85088979185
  • pmid:32735151
ISSN
0036-5521
DOI
10.1080/00365521.2020.1800076
language
English
LU publication?
yes
id
36fc4867-6268-4660-a8b0-71f62f6e32e0
date added to LUP
2020-08-13 14:44:44
date last changed
2024-04-03 12:46:35
@article{36fc4867-6268-4660-a8b0-71f62f6e32e0,
  abstract     = {{<p>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 &lt;.001) and mental (MCS; p &lt;.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 &lt;.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.</p>}},
  author       = {{Sturesson, Christian and Hemmingsson, Oskar and Månsson, Christopher and Sandström, Per and Strömberg, Cecilia and Taflin, Helena and Rystedt, Jenny}},
  issn         = {{0036-5521}},
  keywords     = {{BDI; bile duct injury; cholecystectomy; hepaticojejunostomy; Quality-of-life; SF-36}},
  language     = {{eng}},
  month        = {{07}},
  number       = {{9}},
  pages        = {{1087--1092}},
  publisher    = {{Taylor & Francis}},
  series       = {{Scandinavian Journal of Gastroenterology}},
  title        = {{Quality-of-life after bile duct injury repaired by hepaticojejunostomy : a national cohort study}},
  url          = {{http://dx.doi.org/10.1080/00365521.2020.1800076}},
  doi          = {{10.1080/00365521.2020.1800076}},
  volume       = {{55}},
  year         = {{2020}},
}