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Early complications after biliary enteric anastomosis for benign diseases: A retrospective analysis
BACKGROUND: Biliary-enteric anastomosis (BEA) is a common surgical procedure performed for the management of biliary obstruction or leakage that results from a variety of benign and malignant diseases. Complications following BEA are not rare. We aimed to determine the incidence and the factors asso...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3176468/ https://www.ncbi.nlm.nih.gov/pubmed/21864413 http://dx.doi.org/10.1186/1471-2482-11-19 |
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author | Zafar, Syed Nabeel Khan, Muhammad Rizwan Raza, Rushna Khan, Muhammad N Kasi, Mahwash Rafiq, Ammar Jamy, Omer H |
author_facet | Zafar, Syed Nabeel Khan, Muhammad Rizwan Raza, Rushna Khan, Muhammad N Kasi, Mahwash Rafiq, Ammar Jamy, Omer H |
author_sort | Zafar, Syed Nabeel |
collection | PubMed |
description | BACKGROUND: Biliary-enteric anastomosis (BEA) is a common surgical procedure performed for the management of biliary obstruction or leakage that results from a variety of benign and malignant diseases. Complications following BEA are not rare. We aimed to determine the incidence and the factors associated with early complications occurring after BEA for benign diseases. METHODS: We reviewed the medical records of all patients who underwent BEA for benign diseases at our institution between January 1988 and December 2009. The primary outcome was early post operative complication. Logistic regression analysis was done to identify factors predicting the occurrence of complications. RESULTS: Records of 79 patients were reviewed. There were 34 (43%) males and 45 (57% females). Majority (53%) had choledocholithiasis with impacted stone or distal stricture, followed by traumatic injury to the biliary system (33%). Thirty-four patients (43%) underwent a hepaticojejunostomy, 19 patients (24%) underwent a choledochojejunostomy, and choledochoduodenostomy was performed in 26 patients (33%). Early complications occurred in 39 (49%) patients - 41% had local complications and 25% had systemic complications. Most frequent complications were wound infection (23%) and bile leak (10%). Four (5%) patients died. On multivariate analysis, low serum albumin level (odds ratio = 16, 95% CI = 1.14-234.6) and higher ASA levels (odds ratio = 7, 95% CI: 1.22-33.34) were the independent factors predicting the early complications following BEA. CONCLUSIONS: Half of the patients who underwent BEA for benign diseases had complications in our population. This high incidence may be explained by the high incidence of hypoalbuminemia and the high-risk group who underwent operation. |
format | Online Article Text |
id | pubmed-3176468 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-31764682011-09-21 Early complications after biliary enteric anastomosis for benign diseases: A retrospective analysis Zafar, Syed Nabeel Khan, Muhammad Rizwan Raza, Rushna Khan, Muhammad N Kasi, Mahwash Rafiq, Ammar Jamy, Omer H BMC Surg Research Article BACKGROUND: Biliary-enteric anastomosis (BEA) is a common surgical procedure performed for the management of biliary obstruction or leakage that results from a variety of benign and malignant diseases. Complications following BEA are not rare. We aimed to determine the incidence and the factors associated with early complications occurring after BEA for benign diseases. METHODS: We reviewed the medical records of all patients who underwent BEA for benign diseases at our institution between January 1988 and December 2009. The primary outcome was early post operative complication. Logistic regression analysis was done to identify factors predicting the occurrence of complications. RESULTS: Records of 79 patients were reviewed. There were 34 (43%) males and 45 (57% females). Majority (53%) had choledocholithiasis with impacted stone or distal stricture, followed by traumatic injury to the biliary system (33%). Thirty-four patients (43%) underwent a hepaticojejunostomy, 19 patients (24%) underwent a choledochojejunostomy, and choledochoduodenostomy was performed in 26 patients (33%). Early complications occurred in 39 (49%) patients - 41% had local complications and 25% had systemic complications. Most frequent complications were wound infection (23%) and bile leak (10%). Four (5%) patients died. On multivariate analysis, low serum albumin level (odds ratio = 16, 95% CI = 1.14-234.6) and higher ASA levels (odds ratio = 7, 95% CI: 1.22-33.34) were the independent factors predicting the early complications following BEA. CONCLUSIONS: Half of the patients who underwent BEA for benign diseases had complications in our population. This high incidence may be explained by the high incidence of hypoalbuminemia and the high-risk group who underwent operation. BioMed Central 2011-08-25 /pmc/articles/PMC3176468/ /pubmed/21864413 http://dx.doi.org/10.1186/1471-2482-11-19 Text en Copyright ©2011 Zafar et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Zafar, Syed Nabeel Khan, Muhammad Rizwan Raza, Rushna Khan, Muhammad N Kasi, Mahwash Rafiq, Ammar Jamy, Omer H Early complications after biliary enteric anastomosis for benign diseases: A retrospective analysis |
title | Early complications after biliary enteric anastomosis for benign diseases: A retrospective analysis |
title_full | Early complications after biliary enteric anastomosis for benign diseases: A retrospective analysis |
title_fullStr | Early complications after biliary enteric anastomosis for benign diseases: A retrospective analysis |
title_full_unstemmed | Early complications after biliary enteric anastomosis for benign diseases: A retrospective analysis |
title_short | Early complications after biliary enteric anastomosis for benign diseases: A retrospective analysis |
title_sort | early complications after biliary enteric anastomosis for benign diseases: a retrospective analysis |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3176468/ https://www.ncbi.nlm.nih.gov/pubmed/21864413 http://dx.doi.org/10.1186/1471-2482-11-19 |
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