title: Quality of life in bile duct injury: 1-, 5-, and 10-year outcomes after surgical repair.
abstract: BACKGROUND
  Quality of life after bile duct injury is a relevant health issue besides physician-oriented outcomes. A prospective study was performed to explore short- and long-term outcomes after surgical repair.
  
  
  METHODS
  We studied a cohort of patients with Strasberg E injuries who underwent Roux-en-Y jejunal anastomosis from 1990 to 2008. The Short Form Health Survey (SF-36) was selected as the appropriate quality of life assessment instrument. Two groups were comprised: Group I included patients with 10-year follow-up after surgery. Group II included patients operated during 2008 with preoperative 1- and 5-year questionnaires.
  
  
  RESULTS
  Group I patients (N = 41) were operated from 1990 to 2003 and Group II (N = 44) during 2008. There is a significant improvement in quality of life after the first year of repair in all domains. Readmissions (48 vs 25 %; p < 0.01), colangitis (46 vs 14 %; p < 0.001), and hepatojejunal redo (26 vs. 4 %; p < 0.0001) were less frequent in Group II. No differences in quality of life summary scores were found between Group I and II.
  
  
  CONCLUSIONS
  Quality of life improves significantly after the first year of surgical repair, reaching a plateau at 5 years. No correlation exists with physician-centered outcomes.
authors.affiliation: Department of Surgery, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Vasco de Quiroga 15 Col. Sección XVI Tlalpan, 14000, México, D.F., Mexico.
authors.forename: Ismael
authors.initials: I
authors.lastname: Dominguez-Rosado
authors.forename: Miguel Angel
authors.initials: MA
authors.lastname: Mercado
authors.forename: Christopher
authors.initials: C
authors.lastname: Kauffman
authors.forename: Fernando
authors.initials: F
authors.lastname: Ramirez-del Val
authors.forename: Alejandro
authors.initials: A
authors.lastname: Elnecavé-Olaiz
authors.forename: Daniel
authors.initials: D
authors.lastname: Zamora-Valdés
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D001649:Bile Duct Diseases / Q000453:epidemiology / Q000523:psychology / Q000601:surgery*; D001652:Bile Ducts / Q000293:injuries* / Q000601:surgery; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D005260:Female; D005544:Forecasting; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology / Q000523:psychology*; D011184:Postoperative Period; D011379:Prognosis; D011446:Prospective Studies; D011788:Quality of Life; D012086:Reoperation; D011795:Surveys and Questionnaires; D016896:Treatment Outcome