Analytical Study of Obstructive Jaundice in Thanjavur Medical College

Deepak, George John (2015) Analytical Study of Obstructive Jaundice in Thanjavur Medical College. Masters thesis, Thanjavur Medical College, Thanjavur.

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Abstract

BACKGROUND: Jaundice is a frequent manifestation of biliary tract disorders. Evaluation and management of the patient with jaundice is one of the challenging problems confronting the surgeon. Despite technical advances, until 1980’s the operative modes of management of obstructive jaundice were associated with very high morbidity and mortality. During the last decade significant advances have been made in our understanding with regard to the pathogenesis, diagnosis, staging and efficacy of surgical and non-surgical management of obstructive jaundice. Obstructive of varied etiology is one of the common causes of admission to hospitals across Tamil Nadu. This study evaluates the history, clinical presentation, etiology and the different modalities of treatment of obstructive jaundice. METHODS: From September 2013 to September 2014, 30 obstructive jaundice patients admitted to Thanjavur Medical College Hospital were evaluated regarding the clinical history and presentation, relevant investigations and operative procedures were performed and the outcome noted on follow up. RESULTS: 1. Peak age groups were 51 to 70 years with M : F :: 66.67: 33.33%. 2. Jaundice was the main presentation. 3. Most common cause was gallstones. 4. Raised bilirubin & alkaline phosphatase was more pronounced in malignancy. 5. USG was the cheapest non-invasive diagnostic tool. 6. CBD Stones were treated by Cholecystectomy with CBD exploration and drainage by T Tube or choledochoduodenostomy 7. For benign stricture Roux en Y Hepatico-Jejunostomy with was done. 8. For malignancy either curative Whipple’s procedure /palliative cholecystojejunostomy were done. INTERPRETATION AND CONCLUSION: 1. Common presentation – Jaundice. 2. Common cause – Gallstones. 3. USG is a reliable diagnostic tool. 4. CBD exploration and drainage for CBD stones has good outcome. 5. In malignancy, palliative procedures relieve the obstructive jaundice significantly.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Common bile duct ; Ultrasonography ; ERCP ; Choledocholithiasis ; Benign stricture ; Malignancy.
Subjects: MEDICAL > General Surgery
Depositing User: Punitha K
Date Deposited: 04 May 2018 18:21
Last Modified: 04 May 2018 18:21
URI: http://repository-tnmgrmu.ac.in/id/eprint/7454

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