A study on etiological profile of obstructive jaundiced patients admitted in JLNMCH, Bhagalpur

Dr. Apurva kumar Rajan; Dr. Sohail Anjum

Volume : VII, Issue : X, October - 2017

A study on etiological profile of obstructive jaundiced patients admitted in JLNMCH, Bhagalpur

Dr. Apurva Kumar Rajan, Dr. Sohail Anjum

Abstract :

Aim and Objectives:

Jaundice is the yellowish discoloration of skin and sclera. It may be caused by a heterogeneous group of diseases that include both benign and malignant conditions. As patients with obstructive jaundice have high morbidity and mortality, early diagnosis of the cause of obstruction is very important especially in malignant cases, as proper management can be done.

Materials & Methods: In this study, 60 cases of Obstructive jaundice patients were taken with age group between 20–80 years. Study was done in surgery department of JLNMCH, Bhagalpur, Bihar from April 2016 to March 2017. All cases were registered fulfilled the inclusion criteria and exclusion criteria. A detailed history and thorough physical examination followed by investigations including liver function test, ultrasonography of whole abdomen ERCP, CT–Scan, & MRCP and histopathology were done. Results were analysed statistically.

Results:

Female were more than males with 38:22. 42 patients had benign causes jaundice of obstructive jaundice and 18 patients had malignant obstructive. Amongst the benign cause’s choledocholithiasis was most common cause, 25 patients followed by 09 patient’s stricture of common bile duct, 05 patients of post cholecystectomy CBD stone, 02 patients of worm in CBD and 01 patient Choledochal cyst. In malignancies, carcinoma head of the pancreas was the commonest in 10 patients followed by carcinoma gall bladder in 05 patients and cholangiocarcinoma in 03 patients. The most common complaint was abdominal pain followed by clay coloured stools, anorexia and weight loss.

Conclusion:

Obstructive jaundice in our setting is more prevalent in females and the cause is benign which is due to choledocholithiasis but the malignant causes are also rising. It is a common surgical problem and poses diagnostic and therapeutic challenges, more common among females with gall stones so need study regarding type and the way of processing of food for patients with gall stones to evaluate the exact relation between types of food and occurrence of gall stones.