Results and Prognostic Factors of Bilio-Digestive Derivations at the Brazzaville University Hospital

Massamba Miabaou Didace, Service Yanguedet Moise, Elion Ossibi Pierlesky, Note Madzélé Murielle Julie Etiennette, Nzaka Moukala Carmiche and Tsouassa Wa Ngono Giresse

Department of Digestive Surgery, Brazzaville University Hospital, Congo Faculty of Health Sciences, Marien NGOUABI University, Brazzaville, Congo

^*Correspondance to: Massamba Miabaou Didace 

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Abstract:

Introduction: The objective of this study was to evaluate the results of biliary -digestive derivations (DBD) and to identify the prognostic factors of postoperative morbidity and mortality in the digestive surgery department of the University Hospital of Brazzaville (CHUB). Patients and Methods: This was a cross-sectional analytical study, with both retrospective and prospective data collection, conducted in the digestive surgery department of the CHUB over a ten-year period, from January 1, 2014 to December 31, 2023. The study included all patients who underwent DBD in the digestive surgery department of the CHUB. Results: We collected 110 patients. Postoperative morbidity and mortality were 60.7%, including 30.9% deaths and 21.8% procedure-related morbidity. These complications were significantly associated with: a low socio-economic level (p = 0.02), comorbidity (OR = 2.5; p= 0.00), a delay in consultation (OR = 2; p = 0.04), an alteration of the general condition (OR = 4.2; p = 0.00), a low prothrombin time (PT) and an operative time greater than 4 hours (OR = 4.8; p = 0.02). Overall patient survival was 35.4% at 6 months, and 5.4% at 12 months. Conclusion: The results of DBD at CHUB are still marked by high postoperative morbidity and mortality. The use of DBD must be evaluated according to risk factors, with rigorous and anticipated postoperative management.

Keywords:

Bilio -digestive derivation; Anastomosis; Prognosis; Brazzaville

Cite the Article:

Didace MM, Moise SY, Pierlesky EO, Murielle Julie Etiennette NM, Carmiche NM, Ngono Giresse TW. Results and Prognostic Factors of Bilio-Digestive Derivations at the Brazzaville University Hospital. World J Surg Surgical Res. 2025; 8: 1604..