Biliary bypass surgery - Analysis of indications & outcome of different procedures
This study reports the indications and outcome of various biliary bypass surgical procedures from a single centre over a period of 10 years. This is a prospective observational study conducted over a period of 10 years (January 2001-december 2010). A total of 1500 patients were included, who underwe...
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Veröffentlicht in: | Pakistan Journal of Medical Sciences 2013-06, Vol.29 (3), p.799-802 |
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creator | Hussain Talpur, K Altaf Mahmood Malik, Arshad Iqbal Memon, Amir Naeem Qureshi, Jawed Khan Sangrasi, Ahmed Laghari, Abdul Aziz |
description | This study reports the indications and outcome of various biliary bypass surgical procedures from a single centre over a period of 10 years.
This is a prospective observational study conducted over a period of 10 years (January 2001-december 2010). A total of 1500 patients were included, who underwent pancreatico-biliary surgery due to common bile duct (CBD) stones, congenital anomalies of biliary tree, unoperable pancreatico-biliary malignancies, CBD strictures and cases who developed iatrogenic biliary injuries during cholecystectomy (both open & laproscopic) during this period of time. The patients who required biliary bypass surgery were further analysed for indications and outcome.
Out of 1500 patients 83(5.53%) required biliary bypass surgical procedures. The CBD stones were observed as the most common indication (25.3%), followed by CBD injuries after open(10.84%) or laproscopic-cholecystectomy (14.46%), carcinoma head of pancreas (12.05%) and CBD obstruction(14.46%) either due to CBD strictures or unknown distal obstruction. Roux-en-Y-hepatico-jejunostomy (26.51%) was the most frequently performed procedure, followed by choledochoduodenostomy and Roux-en-Y choledocho-jejunostomy (i.e. 25.3% and 12.05% respectively). Roux-en-Y biliary bypass procedure was observed to be associated with better outcome in terms of rate of complications as well duration of hospital stay.
Biliary bypass surgical procedures are the better options to restore the continuity of biliary system in patients with iatrogenic biliary tree injuries and un-operable pancreatico-biliary malignancy. Roux-en-Y biliary bypass procedure is safe and problem solving method in these cases. |
doi_str_mv | 10.12669/pjms.293.3394 |
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This is a prospective observational study conducted over a period of 10 years (January 2001-december 2010). A total of 1500 patients were included, who underwent pancreatico-biliary surgery due to common bile duct (CBD) stones, congenital anomalies of biliary tree, unoperable pancreatico-biliary malignancies, CBD strictures and cases who developed iatrogenic biliary injuries during cholecystectomy (both open & laproscopic) during this period of time. The patients who required biliary bypass surgery were further analysed for indications and outcome.
Out of 1500 patients 83(5.53%) required biliary bypass surgical procedures. The CBD stones were observed as the most common indication (25.3%), followed by CBD injuries after open(10.84%) or laproscopic-cholecystectomy (14.46%), carcinoma head of pancreas (12.05%) and CBD obstruction(14.46%) either due to CBD strictures or unknown distal obstruction. Roux-en-Y-hepatico-jejunostomy (26.51%) was the most frequently performed procedure, followed by choledochoduodenostomy and Roux-en-Y choledocho-jejunostomy (i.e. 25.3% and 12.05% respectively). Roux-en-Y biliary bypass procedure was observed to be associated with better outcome in terms of rate of complications as well duration of hospital stay.
Biliary bypass surgical procedures are the better options to restore the continuity of biliary system in patients with iatrogenic biliary tree injuries and un-operable pancreatico-biliary malignancy. Roux-en-Y biliary bypass procedure is safe and problem solving method in these cases.</description><identifier>ISSN: 1682-024X</identifier><identifier>ISSN: 1681-715X</identifier><identifier>EISSN: 1681-715X</identifier><identifier>DOI: 10.12669/pjms.293.3394</identifier><identifier>PMID: 24353631</identifier><language>eng</language><publisher>Pakistan: Knowledge Bylanes</publisher><subject>Analysis ; Original ; Surgery</subject><ispartof>Pakistan Journal of Medical Sciences, 2013-06, Vol.29 (3), p.799-802</ispartof><rights>COPYRIGHT 2013 Knowledge Bylanes</rights><rights>Copyright AsiaNet Pakistan (Pvt) Ltd. Jun 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c516t-dee7a228637aeb7904259171d3bf4dc58fdbb07f125d7e81cada2641994733c33</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3809296/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3809296/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24353631$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hussain Talpur, K Altaf</creatorcontrib><creatorcontrib>Mahmood Malik, Arshad</creatorcontrib><creatorcontrib>Iqbal Memon, Amir</creatorcontrib><creatorcontrib>Naeem Qureshi, Jawed</creatorcontrib><creatorcontrib>Khan Sangrasi, Ahmed</creatorcontrib><creatorcontrib>Laghari, Abdul Aziz</creatorcontrib><title>Biliary bypass surgery - Analysis of indications & outcome of different procedures</title><title>Pakistan Journal of Medical Sciences</title><addtitle>Pak J Med Sci</addtitle><description>This study reports the indications and outcome of various biliary bypass surgical procedures from a single centre over a period of 10 years.
This is a prospective observational study conducted over a period of 10 years (January 2001-december 2010). A total of 1500 patients were included, who underwent pancreatico-biliary surgery due to common bile duct (CBD) stones, congenital anomalies of biliary tree, unoperable pancreatico-biliary malignancies, CBD strictures and cases who developed iatrogenic biliary injuries during cholecystectomy (both open & laproscopic) during this period of time. The patients who required biliary bypass surgery were further analysed for indications and outcome.
Out of 1500 patients 83(5.53%) required biliary bypass surgical procedures. The CBD stones were observed as the most common indication (25.3%), followed by CBD injuries after open(10.84%) or laproscopic-cholecystectomy (14.46%), carcinoma head of pancreas (12.05%) and CBD obstruction(14.46%) either due to CBD strictures or unknown distal obstruction. Roux-en-Y-hepatico-jejunostomy (26.51%) was the most frequently performed procedure, followed by choledochoduodenostomy and Roux-en-Y choledocho-jejunostomy (i.e. 25.3% and 12.05% respectively). Roux-en-Y biliary bypass procedure was observed to be associated with better outcome in terms of rate of complications as well duration of hospital stay.
Biliary bypass surgical procedures are the better options to restore the continuity of biliary system in patients with iatrogenic biliary tree injuries and un-operable pancreatico-biliary malignancy. Roux-en-Y biliary bypass procedure is safe and problem solving method in these cases.</description><subject>Analysis</subject><subject>Original</subject><subject>Surgery</subject><issn>1682-024X</issn><issn>1681-715X</issn><issn>1681-715X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNptUluL1DAYLaK4F331UQrCsi8dc2_zIoyLuwoLgijsW0iTLzMZ2qYmrTD_3nTcqyx5yOU753zJySmKdxitMBFCfhx3fVoRSVeUSvaiOMaiwVWN-c3Lw5pUiLCbo-IkpR1CTDBOXhdHhFFOBcXHxY_PvvM67st2P-qUyjTHDeRtVa4H3e2TT2VwpR-sN3ryYUjlWRnmyYQeloL1zkGEYSrHGAzYOUJ6U7xyukvw9nY-LX5dfvl58bW6_n717WJ9XRmOxVRZgFoT0ghaa2hriRjhEtfY0tYxa3jjbNui2mHCbQ0NNtpqIhiWktWUGkpPi0__dMe57cGafIuoOzVG3-cHqaC9eloZ_FZtwh9FGySJFFng_FYght8zpEn1PhnoOj1AmJPCTKKa4oYuvT78B92FOWaHFpRoGMNcoAfURneg_OBC7msWUbWmHDHOEJIZtXoGlYeF3pswgPP5_Anh7BFhC7qbtil08-E_nlU2MaQUwd2bgZE6xEUtcVE5LmqJSya8f2zhPfwuH_Qvkc66Iw</recordid><startdate>20130630</startdate><enddate>20130630</enddate><creator>Hussain Talpur, K Altaf</creator><creator>Mahmood Malik, Arshad</creator><creator>Iqbal Memon, Amir</creator><creator>Naeem Qureshi, Jawed</creator><creator>Khan Sangrasi, Ahmed</creator><creator>Laghari, Abdul Aziz</creator><general>Knowledge Bylanes</general><general>AsiaNet Pakistan (Pvt) Ltd</general><general>Professional Medical Publicaitons</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20130630</creationdate><title>Biliary bypass surgery - Analysis of indications & outcome of different procedures</title><author>Hussain Talpur, K Altaf ; Mahmood Malik, Arshad ; Iqbal Memon, Amir ; Naeem Qureshi, Jawed ; Khan Sangrasi, Ahmed ; Laghari, Abdul Aziz</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c516t-dee7a228637aeb7904259171d3bf4dc58fdbb07f125d7e81cada2641994733c33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Analysis</topic><topic>Original</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hussain Talpur, K Altaf</creatorcontrib><creatorcontrib>Mahmood Malik, Arshad</creatorcontrib><creatorcontrib>Iqbal Memon, Amir</creatorcontrib><creatorcontrib>Naeem Qureshi, Jawed</creatorcontrib><creatorcontrib>Khan Sangrasi, Ahmed</creatorcontrib><creatorcontrib>Laghari, Abdul Aziz</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Pakistan Journal of Medical Sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hussain Talpur, K Altaf</au><au>Mahmood Malik, Arshad</au><au>Iqbal Memon, Amir</au><au>Naeem Qureshi, Jawed</au><au>Khan Sangrasi, Ahmed</au><au>Laghari, Abdul Aziz</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Biliary bypass surgery - Analysis of indications & outcome of different procedures</atitle><jtitle>Pakistan Journal of Medical Sciences</jtitle><addtitle>Pak J Med Sci</addtitle><date>2013-06-30</date><risdate>2013</risdate><volume>29</volume><issue>3</issue><spage>799</spage><epage>802</epage><pages>799-802</pages><issn>1682-024X</issn><issn>1681-715X</issn><eissn>1681-715X</eissn><abstract>This study reports the indications and outcome of various biliary bypass surgical procedures from a single centre over a period of 10 years.
This is a prospective observational study conducted over a period of 10 years (January 2001-december 2010). A total of 1500 patients were included, who underwent pancreatico-biliary surgery due to common bile duct (CBD) stones, congenital anomalies of biliary tree, unoperable pancreatico-biliary malignancies, CBD strictures and cases who developed iatrogenic biliary injuries during cholecystectomy (both open & laproscopic) during this period of time. The patients who required biliary bypass surgery were further analysed for indications and outcome.
Out of 1500 patients 83(5.53%) required biliary bypass surgical procedures. The CBD stones were observed as the most common indication (25.3%), followed by CBD injuries after open(10.84%) or laproscopic-cholecystectomy (14.46%), carcinoma head of pancreas (12.05%) and CBD obstruction(14.46%) either due to CBD strictures or unknown distal obstruction. Roux-en-Y-hepatico-jejunostomy (26.51%) was the most frequently performed procedure, followed by choledochoduodenostomy and Roux-en-Y choledocho-jejunostomy (i.e. 25.3% and 12.05% respectively). Roux-en-Y biliary bypass procedure was observed to be associated with better outcome in terms of rate of complications as well duration of hospital stay.
Biliary bypass surgical procedures are the better options to restore the continuity of biliary system in patients with iatrogenic biliary tree injuries and un-operable pancreatico-biliary malignancy. Roux-en-Y biliary bypass procedure is safe and problem solving method in these cases.</abstract><cop>Pakistan</cop><pub>Knowledge Bylanes</pub><pmid>24353631</pmid><doi>10.12669/pjms.293.3394</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Analysis Original Surgery |
title | Biliary bypass surgery - Analysis of indications & outcome of different procedures |
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