Abstract
The delayed recognition of bile duct injury (BDI) and the challenges in its diagnosis lead to clinical variability. The management of BDI is complicated and ranges from ERCP to liver transplantation. But infections related to BDI and sepsis control, prior to the bile flow reestablishment, are the mainstay of the treatment. In this study, we aimed to report the clinical outcomes of iatrogenic BDI and intensive care unit (ICU) process in a tertiary state hospital.
Highlights
The delayed recognition of bile duct injury (BDI) and the challenges in its diagnosis lead to clinical variability
The mean age was 52.5 years and 14 of these patients were referred us from another hospital. 94.1% of the patients admitted to intensive care unit (ICU) in the first week after injury and the main symptom in the admission was right quadrant pain
It was clearly shown that mortality and sepsis relation was significant statistically (p < 0.001) whereas delayed admission was not related to morbidity or mortality statistically
Summary
The delayed recognition of bile duct injury (BDI) and the challenges in its diagnosis lead to clinical variability. We aimed to report the clinical outcomes of iatrogenic BDI and intensive care unit (ICU) process in a tertiary state hospital. Laparoscopic cholecystectomy (LC), which becomes the standard of care for symptomatic cholelithiasis, and endoscopic retrograde cholangiopancreatography (ERCP), the gold standard diagnostic pathway for biliary disease, may lead to serious complications like bile duct injury (BDI). Iatrogenic bile duct injury after LC was reported at 0.3% to 2.6% interval and approximately 80% of patients with BDI underwent definitive surgery [1]. Delayed recognition and the challenges in the diagnosis of BDI lead to clinical variability from mild tenderness and asymptomatic abdominal pain to the life-threatening complications like septic shock at presentation [3]
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