Volume : VII, Issue : XII, December - 2017

A CLINICAL STUDY AND MANAGEMENT OF OBSTRUCTIVE JAUNDICE

Dr. Y. Sharada, Dr. R. Rama Krishna Naik

Abstract :

 BACKGROUND AND OBJECTIVES : Jaundice is due to increase in the serum bilirubin level above the normal range. Obstructive jaundice is strictly defined as due to a block in the pathway between the site of conjugation of bile in liver cells and the entry of bile into the duodenum through the  ampulla. The block may be  intrahepatic or extrahepatic in the bile duct. 

The objective of study is to differentiate between medical jaundice and surgical jaundice based on history, physical examination and biochemical test, role of USG and ERCP, modalities of treatment required .

METHODS  :  The study population consists of patients diagnosed to have surgical jaundice were assessed preoperatively and later subjected to surgery or palliative procedure depending on the need. Postoperatively patient’s condition was assessed and complication  were documented.

RESULTS : This study analyzed the various causes of surgical jaundice, its presentation, investigations were carried out and different types of operative and non–operative procedures .

INTERPRETATION   AND   RESULTS:  Common cause for surgical jaundice is CBD calculi.USG remains the cheapest, safest and most reliable diagnostic tool in the management of surgical jaundice. ERCP has both diagnostic and therapeutic advantage over MRCP, which is only diagnostic. Interventional ERCP recently has been replacing CBD exploration for CBD calculi and its use as palliative drainage with stenting in both benign and malignancy has helped to prevent complications and also better survival of the patient.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr.Y.Sharada, Dr.R.Rama Krishna Naik, A CLINICAL STUDY AND MANAGEMENT OF OBSTRUCTIVE JAUNDICE, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-7 | Issue-12 | December-2017

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