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( Hosur Mayanna Lokesh ),( Biju Pottakkat ),( Anand Prakash ),( Rajneesh Kumar Singh ),( Anu Behari ),( Ashok Kumar ),( Vinay Kumar Kapoor ),( Rajan Saxena ) The Editorial Office of Gut and Liver 2013 Gut and Liver Vol.7 No.3
Background/Aims: This study was aimed at determining the factors associated with the development of benign biliary stricture (BBS) in patients who had sustained a bile duct injury (BDI) at cholecystectomy and developed bile leaks. Methods: A retrospective analysis of 214 patients with BDI who were referred to our center between January 1989 and December 2009 was done. Results: One hundred fifty-three (71%) patients developed BBS (group I), and 61 (29%) were normal (group II). By univariate analysis, female gender (p=0.02), open cholecystectomy as the index operation (p=0.0001), delay in the referral from identification of injury (p=0.04), persistence of an external biliary fistula (EBF) beyond 4 weeks (p=0.0001), EBF output >400 mL (p=0.01), presence of jaundice (p=0.0001), raised serum total bilirubin level (p=0.0001), raised serum alkaline phosphatase level (p=0.0001), and complete BDI (p=0.0001) were associated with the development of BBS. Furthermore, open cholecystectomy as the index operation (p=0.04), delayed referral (p=0.02), persistent EBF (p=0.03), and complete BDI (p=0.001) were found to predict patient outcome in the multivariate analysis. Conclusions: For the majority of patients with BDI, the risk of developing BBS could have been predicted at the initial presentation. (Gut Liver 2013; 7:352-356)