INCIDENCE OF CAUSES OF OBSTRUCTIVE JAUNDICE – PROSPECTIVE STUDY DONE AT GASTROENTEROLOGY DEPARTMENT IN KURNOOL MEDICAL COLLEGE, KURNOOL
Journal Title: IJSR-International Journal Of Scientific Research - Year 2018, Vol 8, Issue 4
Abstract
AIM: In the present study, in the department of gastroenterology, Kurnool Medical College, we wanted to know the causes of obstructive jaundice prospectively. Materials: 270 patients were evaluated for the cause of obstructive jaundice from June 2014 to till date. These patients were either referred from other departments in the same college or admitted in gastroenterology department itself for evaluation of obstructive jaundice. Methods: After clinical and biochemical tests, patients with conjugated bilirubin greater than 15 % of total bilirubin are further evaluated with Ultrasound abdomen for any evidence of dilated common bile duct, intrahepatic biliary radical dilation (IHBRD), Common bile duct stones, any intraluminal masses in the common bile duct, common hepatic duct, mass in the second part of the duodenum, and any mass in the head of pancreas. Depending on the findings further investigations like CT scan abdomen or MRCP done. Upper gastrointestinal endoscopy is performed to know the anatomy upto second part of the duodenum, to take the biopsy if any mass lesion was found at the Ampulla, or from infiltrated duodenal mucosa due to carcinoma head of pancreas. Finally ERCP was performed to confirm the diagnosis in doubtful cases and treat the cause, like removal of common bile duct stones,take the biopsy from peri-ampullary tumour, placing stents in bile ducts, both plastic or metal stents depending on the cause.
Authors and Affiliations
Dr. V. Venkata Ranga Reddy, Dr. B. Shankara Sharma, Dr. G. Mohan Reddy
Keywords
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