![]() ![]() Patients require a long-term follow-up to detect anastomotic strictures. Treatment should be performed in tertiary expert centers to optimize outcomes. ![]() Conclusions: The long-term impact of BDI is considerable, both in terms of clinical outcomes and QoL. Twenty-four patients primarily or secondarily underwent surgical revision, with recurrent strictures occurring in 21%. Of 91 patients treated in our center for anastomotic strictures after HJ, 81 (89%) were treated by percutaneous balloon dilatation, with a long-term success rate of 77%. Long-term BDI-related mortality varies between 1.8 and 4.6%. The median time to stricture formation varies between 11 and 30 months. Following surgical treatment, the incidence of anastomotic strictures varies from 5 to 69%, with most studies reporting incidences around 10–20%. Results: Although clinical outcomes of endoscopic, radiologic, and surgical treatment of BDI are good with success rates of around 90%, quality of life (QoL) may be impaired even after “clinically successful” treatment. Considering the availability of only limited data regarding treatment of anastomotic strictures in literature, we also retrospectively analyzed patients with anastomotic strictures following a hepaticojejunostomy (HJ) from a prospectively maintained database of 836 BDI patients. Methods: We provide a comprehensive overview of current literature on the long-term outcome of BDI. After initial management of BDI, patients stay at risk for late complications including anastomotic strictures, recurrent cholangitis, and secondary biliary cirrhosis. Postcholecystectomy syndrome.Background: Bile duct injury (BDI) is a devastating complication following cholecystectomy. A systematic comparison of sugar content in low-fat vs regular versions of food.
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