{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:52:14Z","timestamp":1787017934687,"version":"build-2736575974"},"reference-count":17,"publisher":"S. Karger AG","issue":"6","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dig Surg"],"published-print":{"date-parts":[[2020]]},"abstract":"<b><i>Background:<\/i><\/b> Mexican health system structure allows us to study the differences in bile duct injury (BDI) management. The study aimed to assess the differences in patients with complex BDI in 2 different public sector institutions using a new proposed standard terminology. <b><i>Methods:<\/i><\/b> Retrospective review (2008\u20132019) in 2 public institutions (IMSS\/SESVER). Bismuth-Strasberg E injuries with hepaticojejunostomy were included. Data are presented in a tabular reporting system. The outcomes were percent of patients attaining primary patency, loss of primary patency, and actuarial primary patency rate. <b><i>Results:<\/i><\/b> Seventy-eight patients (IMSS: <i>n<\/i> = 37; SESVER: <i>n<\/i> = 41) without differences in demographic and preoperative assessment were studied. BDI occurred mostly in outside hospitals. Open cholecystectomy was the most common index operation in SESVER (73%, <i>p<\/i> = 0.02). IMSS had more surgeries (<i>p<\/i> = 0.007) and repair attempts (<i>p<\/i> = 0.06) prior to referral. Magnetic resonance cholangiopancreatography was more commonly used in IMSS patients. Biliary stents (45%) and cholangitis (29%) were more common in IMSS (<i>p<\/i> &#x3c; 0.05). IMSS patients had longer follow-up than SESVER (<i>p<\/i> &#x3c; 0.05). No differences in primary patency rates (IMSS: 89%, SESVER: 97%) and actuarial patency rates were noted. <b><i>Discussion:<\/i><\/b> Despite differences in referral, preoperative, and operative events, good BDI repair outcomes can be achieved. Longer follow-up is needed to monitor these outcomes.<\/jats:p>","DOI":"10.1159\/000509706","type":"journal-article","created":{"date-parts":[[2020,8,24]],"date-time":"2020-08-24T17:00:34Z","timestamp":1598288434000},"page":"472-479","source":"Crossref","is-referenced-by-count":3,"title":["Differences in Post-Cholecystectomy Bile Duct Injury Care: A Comparative Analysis of 2 Different Health-Care Public Institutions in a Low- and Middle-Income Country: Southeast Mexico"],"prefix":"10.1159","volume":"37","author":[{"given":"Gustavo","family":"Mart\u00ednez-Mier","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro Ivan","family":"Moreno-Ley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio","family":"Esquivel-Torres","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Luis","family":"Gonzalez-Grajeda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Mendez-Rico","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2020,8,23]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2009.02.063"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-007-9740-8"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1477-2574.2011.00356.x"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2014.04.024"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2015.06.004"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-001-0102-8"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.24875\/ciru.18000276"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181afde41"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.519"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000001868"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-019-06906-8"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-018-4018-0"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2016.02.019"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.137.1.60"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-015-4282-y"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/3692096"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.17159\/2078-5151\/2019\/v57n3a3026"}],"container-title":["Digestive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/509706","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/509706","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T11:49:30Z","timestamp":1745408970000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000509706"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":17,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2020,11,17]]},"published-print":{"date-parts":[[2020,11,17]]}},"URL":"https:\/\/doi.org\/10.1159\/000509706","archive":["Portico"],"relation":{},"ISSN":["0253-4886","1421-9883"],"issn-type":[{"value":"0253-4886","type":"print"},{"value":"1421-9883","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020]]}}}