Hepaticojejunostomy With or Without Permanent Duodenal Access Loop in Treatment of Iatrogenic Bile Ducts Injuries, a Comparative Study
NCT ID: NCT04150679
Last Updated: 2019-11-05
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
44 participants
INTERVENTIONAL
2013-01-31
2019-05-31
Brief Summary
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Detailed Description
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the data collected from both groups included, demographic criteria of patients, type of the previous surgery, place of surgery, the class of the biliary injury according to bismuth classification, (according to Bismuth classification; type I (Low injury, stump length \> 2 cm), type II) (higher injury, stump length \< 2 cm), type III (high CHD injury but confluence is preserved), type IV (high injury both hepatic ducts are no more connected.). And any diagnostic or therapeutic intervention carried out before surgical management.
The detailed surgical management; in group I a roux en y hepaticojejunostomy was done, after abdominal exploration and identification of the level of injury or stricture a ROUX en Y loop of the jejunum was prepared 40 cm post duodenojujenal junction, it was separated and anastomosed to the jejunum at a more distal point ( 60 cm ) the proximal end of the distal loop was closed in two layers with Vicryl 3\\0 the loop was extracted retrocolic towards the site of injury where a hepaticojejunostomy was done end( biliary)to side (jejunum with Vicryl 4\\0 size single layer .
in the second group the same was done but with jejunoduodenostomy side to side at 5-10 cm distal to the site of hepaticoduodenostomy as a permanent access loop.
Follow up data either clinical, laboratory or radiologic were collected, findings of MRCP (if needed) was reported as primary outcome.
Secondary outcome (management of complications), including the operative time needed for correction of the complications, early and late postoperative morbidity and mortality.
The data was analyzed properly using SPSS 18, and presented in a suitable way using graphs figures and tables.
Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
NONE
Study Groups
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group I retrospective non access loop
patients with iatrogenic bile duct injuries, cases treated with hepaticojejunostomy without access loop
hepaticojejunostomy without access loop
ROUX en Y hepaticojejunostomy without access loop
GROUP II access loop group
patients with iatrogenic bile duct injuries, cases treated with hepaticojejunostomy with duodenojejunostomy access loop
duodenojejunostomy access loop
ROUX en Y hepaticojejunostomy with duodenojejunal anastomosis as permanent access
Interventions
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duodenojejunostomy access loop
ROUX en Y hepaticojejunostomy with duodenojejunal anastomosis as permanent access
hepaticojejunostomy without access loop
ROUX en Y hepaticojejunostomy without access loop
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
ALL
No
Sponsors
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Zagazig University
OTHER_GOV
Responsible Party
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Hazem Nour Abdellatif
Assistant professor
Locations
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Zagazig Faculty of Medicine
Zagazig, Sharqya, Egypt
Countries
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Other Identifiers
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Hazem Nour access loop
Identifier Type: -
Identifier Source: org_study_id
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