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Research Article
Quality of life after repair of iatrogenic bile duct injury of postcholecystectomy Filipino patients
1 Chairman, Department of Surgery, University of the Philippines College of Medicine and Philippine General Hospital, Philippines
2 Surgical Resident, Manila Doctors Hospital, Philippines
3 Associate Professor, Department of Surgery, University of the Philippines College of Medicine and Philippine General Hospital, Philippines
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Anthony R Perez
Associate Professor, Department of Surgery, University of the Philippines College of Medicine and Philippine General Hospital,
Philippines
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Article ID: 100086Z04CA2020
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How to cite this article
Arcilla CE, Zamora HPA, Perez AR. Quality of life after repair of iatrogenic bile duct injury of postcholecystectomy Filipino patients. Int J Hepatobiliary Pancreat Dis 2020;10:100086Z04CA2020.ABSTRACT
Aims: The estimated incidence of bile duct injuries (BDIs) has increased ranging from 0.4% to 0.7% since global recognition of laparoscopic cholecystectomy as a standard procedure. Bile duct injuries are associated with increased morbidity and mortality, as well as substantial health care costs, and malpractice litigation claims. This study aims to determine the quality of life (QoL) of Filipino patients after repair of BDIs incurred from their previous laparoscopic or open cholecystectomies.
Methods: A total of 22 patients post-repair of BDIs and 22 age- and sex-matched patients who had unremarkable cholecystectomies from 1997 to 2017 were recruited for this study. The patients were requested to answer a survey on QoL using RAND 36-Item Health Survey 1.0, a validated survey which includes a multi-item scale that assesses eight health concepts.
Results: Patients with BDIs had lower scores in all domains compared to non-BDI group. Physical functioning and role limitations due to physical health are statistically significant (p values 0.0473 and 0.0025). Conclusion: The effect of BDI is considerable and bears an impact on a patient’s health and well-being. Physical functioning and role limitations due to physical health were identified to be impaired among these patients and these factors should be assessed during long-term follow-up.
Keywords: Bile duct injury, Bile duct reconstruction, Quality of life
SUPPORTING INFORMATION
Author Contributions
Crisostomo E Arcilla - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Hector Paolo A Zamora - Substantial contributions to conception and design, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Anthony R Perez - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Crisostomo E Arcilla et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
