MANAGEMENT OF POST SURGICAL BILIARY STRICTURES IN A TERTIARY LEVEL TEACHING HOSPITAL OF GUJARAT,A 09 YEARS EXPERIENCE OF A SINGLE GASTROSURGICAL TEAM

Introduction: Bile duct injury (BDI) following cholecystectomy continues to be a serious iatrogenic complication that significantly affects patients quality of life and results in high healthcare costs. Although the incidence of BDI during laparoscopic cholecystectomy has marginally increased (.4% to .6%) as compared to 1 to .2% during open cholecystectomy {18},the overall number of cases remains substantial due to t he high frequency of cholecystectomy procedures{1,13}. If bile duct injury (BDI) is not properly managed, it can lead to biliary stricture, which may result in serious complications such as recurrent strictures, cholangitis, or even liver function impairment leading to even cirrhosis. Open Roux-en-Y hepaticojejunostomy{RY HJ}, when performed with precise surgical technique, continues to be the gold standard treatment, providing excellent long-term outcomes for most patients. Methodology:This is a descriptive observational study with retrospecti ve data analysis and prospective data collection with follow up which includes 60 patients, aged between 16 and 65 years, from a single gastrosurgery unit at SMT NHL Municipal Medical College in Ahmeda bad, conducted over a 09-year period August 2015 and September 2024. Patients who underwent surgical management for definitive treatment of biliary injuries in the form of Roux en Y hepaticojejunosto my (R-en-Y HJ), were included in the study. The study analysed demographic data, factors affecting surgical complications, long-term outcomes, and follow-up results.