Abstract
Introduction: HBPS department of YSH is one of the two dedicated HBP units in the Country of 55 million. BDI is usually tackled by HBP surgeons. OUr annual incidence of 0.8% seemed a bit higher than most of the published data but it included referred BDI cases. Method: Hospital based, retrospective case series based on hospital data. Results: There were 43 cases of BDI in 5 years of which, 72% (31 cases) is due to benigh cases and 33% (12%) cases to malignant cases. Post laparoscopic cholecystectomy accounted for majority (60%) of the BDI due to benign disease while post hepatectomy cases for cholangiocarcinoma accounted for 40% of BDI due to malignant disease. Most of the BDI presented with bile leak but 10% with stricture. Discussion: Various methods (surgery, interventional radiology and endoscopy) performed for BDI in the study period will be discussed with outcome with regard to mortality and morbidity. Conclusion: Early recognition and multidisciplinary approach is the key for management of BDI.
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