Assessment Of Biliary Enteric Anastomosis In Benign Biliary Disorders

Abstract

Background: To assess Biliary Enteric Anastomosis in Benign Biliary Disorders.
Materials & methods: A total of 100 patients were evaluated. Only those patients were included which were affected by BBD
undergoing biliary enteric anastomosis were enrolled. The procedures used were choledochoduodenostomy (CDD),
choledochojejunostomy (CDJ), and Roux-en-Y hepaticojejunostomy (HJ). All the patients were pre-informed about the entire study
protocol. Complete biochemical profile of all the patients was evaluated.Follow-up was done and occurrence of complications, if any,
was recorded separately. All the results were recorded and analysed using SPSS software.
Results: Out of 100 patients with BBD, Choledochoduodenostomy (CDD), Choledochojejunostomy (CDJ) and Roux-en-Y
hepaticojejunostomy (HJ) were carried out in 41 percent, 29 percent and 30 percent of the patients respectively. While evaluating the
complications, it was seen that leak and strictures were seen in 2 percent and 1 percent of the patients respectively.Cholangitis was
seen in 3 percent of the patients.On assessing the Uni-variate analysis for risk factors associated with complications, it was seen that
albumin levels of less than 3.5 g/dL were significant risk factors for occurrence of complications.
Conclusion: Biliary enteric anastomosis is a safe and effective method for the management of BBD