SSAT - LONG TERM OUTCOMES AND QUALITY OF LIFE AFTER REAPIR OF BENIGN BILIARY STRICTURE OF POST CHOLECYSTECTOMY BILE DUCT INJURY

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LONG TERM OUTCOMES AND QUALITY OF LIFE AFTER REAPIR OF BENIGN BILIARY STRICTURE OF POST CHOLECYSTECTOMY BILE DUCT INJURY
Jyoti Kharel, Thakur D. Yadav, Rajesh Gupta, Harjeet Singh^*
Post Graduate Institute of Medical Education and Research, Chandigarh, India

Introduction: Bile duct injury (BDI) is a potentially devastating complication of cholecystectomy. Although the repair may be successful, patients often experience a decline in their quality of life (QOL). However, there is a paucity of data regarding the factors influencing long-term outcomes and QOL in these patients.
Methods: Patients who underwent benign biliary stricture repair with at least three year of follow up were assessed for inclusion in the study. The patients with incomplete records and who refused to participate were excluded. Long-term outcomes was assessed with MacDonald Grading. QOL assessed using the SF-36 Questionnaires, with a control group of patients who had uncomplicated Laparoscopic cholecystectomy(LC).
Results: Out of 156 screened, 44 patients were included in the study, with a mean follow-up duration of 5.7 � 2.39 years. Successful long-term outcomes with Mac Donald outcome grade A, were observed in 31 (70.5%) patients, while 12 (27.3%) patients had grade B outcomes. External biliary fistula at the time of repair was associated with poorer outcomes. Patients with BDI repair reported was significantly lower scores in seven SF-36 domains compared to controls (p< 0.05).
Conclusion: The short term and long-term outcomes of delayed BBS repair are favourable in high volume centre. Despite the acceptable post operative outcomes, the long-term quality of life hampers after BBS repairs.

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