RESUMO
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. METHOD: 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.
Assuntos
Doenças dos Ductos Biliares/cirurgia , Ductos Biliares/lesões , Colecistectomia Laparoscópica/efeitos adversos , Previsões , Complicações Pós-Operatórias/psicologia , Qualidade de Vida , Adulto , Anastomose Cirúrgica/métodos , Doenças dos Ductos Biliares/epidemiologia , Doenças dos Ductos Biliares/psicologia , Ductos Biliares/cirurgia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/epidemiologia , Período Pós-Operatório , Prognóstico , Estudos Prospectivos , Reoperação , Inquéritos e Questionários , Resultado do TratamentoAssuntos
Doenças dos Ductos Biliares/história , Colecistectomia/história , Tomada de Decisões , Pessoas Famosas , Doença Aguda , Doenças dos Ductos Biliares/psicologia , Doenças dos Ductos Biliares/cirurgia , Sistema Biliar/lesões , Colecistectomia/psicologia , Egito , Governo/história , História do Século XX , Humanos , GuerraRESUMO
The aim of this review is that of offer an update on the real therapeutic possibility of the thermal medicine in the functional gastrointestinal disorders. The functional dyspepsia, the irritable bowel syndrome, the functional constipation and the functional disorders of the biliary tract (in accordance with Roma II criteria), are the illness for which the drinking mineral waters could give a valid therapeutic support.
