Evidence map›Paper›PMID 42529730›Full record

ArticleGastroenterology and hepatology from bed to bench2026

Strasberg severity predicts 30-day loss of bile duct patency after ERCP in post-cholecystectomy bile duct injury.

Anung Noto Nugroho, Ida Bagus Budhi Surya Adnyana, Didik Prasetyo, Triyanta Y Pramana, Aritantri Darmayani, Febriagi Bayu Aji, Nafa Unnisa

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Article in Gastroenterology and hepatology from bed to bench, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Anung Noto NugrohoDepartment of Digestive Surgery, Dr. Moewardi Hospital/Faculty of Medicine, Sebelas Maret University, Surakarta, Central Java, Indonesia.
Ida Bagus Budhi Surya AdnyanaDepartment of Digestive Surgery, Dr. Moewardi Hospital/Faculty of Medicine, Sebelas Maret University, Surakarta, Central Java, Indonesia.
Didik PrasetyoDivision of Gastroenterohepatology, Internal Medicine Department, Faculty of Medicine Sebelas Maret University Dr. Moewardi Hospital, Surakarta.
Triyanta Y PramanaDivision of Gastroenterohepatology, Internal Medicine Department, Faculty of Medicine Sebelas Maret University Dr. Moewardi Hospital, Surakarta.
Aritantri DarmayaniDivision of Gastroenterohepatology, Internal Medicine Department, Faculty of Medicine Sebelas Maret University Dr. Moewardi Hospital, Surakarta.
Febriagi Bayu AjiDigestive Surgery Department, Universitas Sebelas Maret, Surakarta, Indonesia.
Nafa UnnisaDigestive Surgery Department, Universitas Sebelas Maret, Surakarta, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: This study evaluated the prognostic value of Strasberg classification on 30-day bile duct patency and explored relevant clinical and procedural factors. Background: Bile duct injury (BDI) is a serious complication of cholecystectomy that may influence early outcomes after endoscopic retrograde cholangiopancreatography (ERCP). Methods: We retrospectively reviewed 33 patients with BDI treated with ERCP at Dr. Moewardi Hospital from January 2023 to May 2025. Data included demographics, laboratory results, cholecystectomy type, timing of diagnosis and repair, and injury severity (minor: A-C; major: D-E). The primary outcome was bile duct patency at 30 days, assessed by imaging and clinical indicators. Statistical analyses included chi-square, Fisher's exact, Kaplan-Meier survival, and ROC curves. Results: Patients had a mean age of 45.9 years; 54.5% were female, and 54.5% had laparoscopic cholecystectomy. Minor and major injuries were observed in 51.5% and 48.5%, respectively. 63.6% achieved bile duct patency by day 30. No significant associations were found between demographic, laboratory, procedural variables, and either injury severity or outcomes (all p>0.05). Kaplan-Meier analysis revealed significantly longer patency in minor injuries compared to major injuries (mean 25.88 vs. 20.88 days, p=0.030). Conclusion: This study highlights Strasberg classification as an independent predictor of early bile duct patency after ERCP. Other common clinical factors did not significantly influence outcomes. These findings underscore the importance of Strasberg classification not only for injury assessment but also for guiding early postoperative management and monitoring. Larger prospective studies are needed to confirm these results and to optimize prognostic tools for BDI care.

Indexed as

Bile duct injuryBile duct patencyEarly outcomeStrasberg

Identifiers

PMID42529730
PMCPMC13418495

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