title: Iatrogenic bile duct injuries in kashmir valley.
abstract: Cholecystectomy is one of the commonest operations performed throughout the world and bile duct injury is the worst complication of this procedure. In a prospective and retrospective study 25 patients were seen in a tertiary care hospital over a period of 10 years. 72% of patients were referred from other hospitals. 48% of patients presented within one month of injury. Pain was the commonest presentation (92%) followed by jaundice (80%). Liver functions were deranged in 70% of patients, USG revealed biliary dilatation in 69.6% of patients. ERCP was done in 16 patients and revealed cut off of the common hepatic duct in 43.8% of patients. Intraoperative findings revealed adhesions in 96% of patients. 48% of patients had bile duct stricture. Roux-en-Y hepaticojejunostomy was the commonest procedure performed. All patients showed improvement in liver function after surgery. Wound infection was the commonest complication seen in 32% patients. 3 patients died in our series.
authors.affiliation: Department of Surgery, Sher i Kashmir Instt. Of Medical Sciences, Srinagar, India.
authors.forename: Nisar A
authors.initials: NA
authors.lastname: Chowdri
authors.forename: Farooq A
authors.initials: FA
authors.lastname: Dar
authors.forename: Zahoor A
authors.initials: ZA
authors.lastname: Naikoo
authors.forename: Nazir A
authors.initials: NA
authors.lastname: Wani
authors.forename: Fazl Q
authors.initials: FQ
authors.lastname: Parray
authors.forename: Khurshid A
authors.initials: KA
authors.lastname: Wani