Comparitive study between surgical and nonsurgical management in patients with obstructive jaundice due to choledocholithiasis

Gunaseelan, P (2014) Comparitive study between surgical and nonsurgical management in patients with obstructive jaundice due to choledocholithiasis. Masters thesis, Madras Medical College, Chennai.

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Abstract

BACKGROUND: Obstructive jaundice is a frequent manifestation of biliary tract disorders. Evaluation and management of patients with jaundice is one of the challenging problems confronting to the surgeon. CBD stones usually remain asymptomatic. Stones in biliary tree is the most common cause of obstructive jaundice. 10% to 18% of patients undergoing cholecystectomy for gallstones have CBD stones. OBJECTIVE: 1. ERCP versus open surgical bile duct clearance. 2. To compare the post procedural morbidity and mortality. MATERIALS AND METHODS: 50 Patients with obstructive jaundice due to choledocholithiasis in Rajiv Gandhi Government General hospital were studied between June 2011 to December 2013. RESULTS: ERCP was less successful than open surgery in CBD stone clearance. There was increased rate of post operative morbidity in patients treated with open surgery. CONCLUSION: Open surgery has got high post procedural morbidity and low failiure rate when compared to ERCP.

Item Type: Thesis (Masters)
Uncontrolled Keywords: surgical and nonsurgical management ; obstructive jaundice ; choledocholithiasis ; Comparitive study.
Subjects: MEDICAL > General Surgery
Depositing User: Devi S
Date Deposited: 05 Jul 2018 03:43
Last Modified: 05 Jul 2018 03:50
URI: http://repository-tnmgrmu.ac.in/id/eprint/8623

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