Quality-of-life after bile duct injury repaired by hepaticojejunostomy : a national cohort study
(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
- Sturesson, Christian LU ; Hemmingsson, Oskar ; Månsson, Christopher ; Sandström, Per ; Strömberg, Cecilia ; Taflin, Helena and Rystedt, Jenny LU
- organization
- publishing date
- 2020-07-31
- 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 <.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.</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}}, }