title: Quality-of-life assessment in the treatment of iatrogenic bile duct injuries: hepaticojejunostomy versus end-to-end biliary reconstructions.
abstract: BACKGROUND
  Assessment and comparison of quality of life (QOL) in patients treated for iatrogenic bile duct injuries (IBDI) with Roux-en-Y hepaticojejunostomy (HJ) or end-to-end ductal anastomosis (EE).
  
  
  METHODS
  The Medical Outcomes Study Short Form 36v2 (SF-36v2) Health Survey and the Karnofsky score were used. Comparative analysis of QOL was performed in 41 patients following reconstructive surgery for IBDI between 1990 and 2005: 22 - HJ and 21 - EE.
  
  
  RESULTS
  Seven of eight values were comparable in both analysed groups: role-physical, bodily pain, general health, vitality, social functioning, role-emotional and mental health index. Physical functioning was significantly better in patients following EE (P = 0.04). Physical component summary (P = 0.11) and mental component summary (P = 0.92) in both groups were comparable. QOL according to the Karnofsky scale was comparable in both groups (P = 0.294).
  
  
  CONCLUSIONS
  Physical functioning was significantly better in patients after EE. Other values of QOF according to the SF-36v2 and the Karnofsky score were comparable in both groups.
authors.affiliation: Department of Digestive Tract Surgery, Medical University of Silesia, Katowice, Poland. bjablonska@poczta.onet.pl
authors.forename: Beata
authors.initials: B
authors.lastname: Jabłońska
authors.forename: Marek
authors.initials: M
authors.lastname: Olakowski
authors.forename: Paweł
authors.initials: P
authors.lastname: Lampe
authors.forename: Zygmunt
authors.initials: Z
authors.lastname: Górka
authors.forename: Lukasz
authors.initials: L
authors.lastname: Bułdak
mesh_terms: D000714:Anastomosis, Surgical; D001652:Bile Ducts / Q000293:injuries* / Q000601:surgery*; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007431:Intraoperative Complications / Q000601:surgery*; D007582:Jejunostomy; D008099:Liver / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome