Early Complications After Biliary Enteric Anastomosis for Benign Diseases
Author Information
Author(s): Zafar Syed Nabeel, Khan Muhammad Rizwan, Raza Rushna, Khan Muhammad N, Kasi Mahwash, Rafiq Ammar, Jamy Omer H
Primary Institution: Aga Khan University
Hypothesis
What is the incidence and the factors associated with early complications occurring after biliary enteric anastomosis for benign diseases?
Conclusion
Half of the patients who underwent biliary enteric anastomosis for benign diseases had complications, likely due to high rates of hypoalbuminemia and high-risk patients.
Supporting Evidence
- 49% of patients experienced early complications after surgery.
- The most common complications were wound infection (23%) and bile leak (10%).
- Patients with low albumin levels were 16 times more likely to have complications.
- Higher ASA class patients were 7 times more likely to suffer complications.
Takeaway
Many patients who had surgery to fix bile problems got sick afterward, especially if they had low protein levels in their blood.
Methodology
The study reviewed medical records of patients who underwent biliary enteric anastomosis for benign diseases over a 22-year period, analyzing complications and their predictors.
Potential Biases
The lack of a dedicated hepatobiliary service and varying surgeon experience may introduce bias.
Limitations
The study is retrospective and may not account for all potential confounders; it also had a small sample size.
Participant Demographics
34 males (43%) and 45 females (57%), with a majority having choledocholithiasis.
Statistical Information
Confidence Interval
95% CI = 1.14-234.6 for low serum albumin; 95% CI: 1.22-33.34 for higher ASA levels.
Digital Object Identifier (DOI)
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