Factors Influencing Occurrence Of Hilar Biliary Stricture In Case of Bile Duct Injury

University of Oran 1

Status: Completed

Conditions: Bile Duct Injury

Treatments: Diagnostic Test: Biliary RMI and CT scan.

Study type: Observational

Funder types: Other

Identifiers

NCT04286763

UOran1bileductinjury

Details and patient eligibility

About

The bile duct injury is a complication that occurs mainly after the cholecystectomy. Bile duct stricture is one of complications of this unwitting iatrogenic injury, the outcomes of surgery in this case are worse when the level of the stricture is above the helium.

So what are factors influencing the occurrence of this high level bile duct obstruction ?

Full description

The objective of this study was to answer a simple question, what are the factors influencing the occurrence of high level -called hilar biliary stricture? To answer this question, a retrospective study was carried out on the files of patients operated for biliary stenosis after operative trauma of the bile ducts in our department over a period from January 2010 to May 2018. Only patients operated in biliary stricture (Grade E Strasberg) was included.

A univariate and muntivariate logistic regression analysis was performed to determine the factors influencing the occurrence of hilar stenosis. data entry and analysis was done using SPSS V20.0 software.

Enrollment: 53 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• all cases with biliary stricture following an operative bile duct injury.

Exclusion criteria

• cases of biliary stricture following an non operative bile duct injury (Blind or penetrating abdominal trauma , radiological or endoscopic maneuvers).
• cases of biliary stricture following hepatectomy

Trial design

53 participants in 2 patient groups

Hilar stricture

Description:

Bile duct Stricture (corresponding to E3, E4 and E5 from of Strasberg. -According to the classification proposed by Strasberg of operative bile duct injuries).

Treatment:

Diagnostic Test: Biliary RMI and CT scan.

Low level Stricture

Description:

Bile duct Stricture (corresponding to E1 and E2 from Strasberg. -According to the classification proposed by Strasberg of operative bile duct injuries).

Treatment:

Diagnostic Test: Biliary RMI and CT scan.