Clinical study of surgical jaundice: an institutional experience

Abstract

Background: Patients with surgical jaundice need quick and precise diagnosis for the presence of an obstruction in the biliary tract, to establish the level and nature of the lesion. The importance of history and clinical examination in arriving at a correct pre-operative diagnosis needs to be emphasized. Present study attempts to determine the various causes, age and sex pattern in extra hepatic obstructive jaundice.Methods: 100 patients with surgical jaundice were studied at IMS and SUM Hospital, Bhubaneswar, India during the period from September 2015 to September 2017 who were diagnosed by investigation like ultrasonography and liver function test.Results: 76% of patients were between the age group of 50-80 years, there was a slight male predominance in 53.33%, malignant cause for surgical jaundice constituted in 66.67% with carcinoma head of pancreas the commonest cause in 33.33%, benign cause for surgical jaundice constituted in 33.33%, with choledocholithiasis the commonest cause in 23.33%.Conclusions: Most common age group seen in surgical jaundice was between 50-80 years. The sex ratio is near equalizing. Most common cause of surgical jaundice was carcinoma head of pancreas and choledocholithiasis.

Clinicopathological features and management of obstructive jaundice at Queen Elizabeth Central Hospital, Malawi. A retrospective cohort analysis

“…Malignant conditions are the most common aetiological cause [ 1 , 2 , 4 ] and palliative procedures are performed more frequently in this patient group due to late presentation [ 3 ]. Some studies have demonstrated a male predominance [ 5 , 6 ] while others have demonstrated a female predominance [ [2] , [3] , [4] , 7 , 8 ] in the gender distribution of this condition. We do not know if this is the same for our region and country.…”

An Observational Study for Causes of Surgical Jaundice at Tertiary Care Hospital

“…The diagnosis needs to be usually carried out through standard diagnostic processes like according to the history, biochemical test, physical examination and investigations. [5] Several diagnostic and therapeutic challenges have been faced by the general surgeon while managing the surgical jaundice and these challenges have been mostly sound while practicing in the countries with limited resources. [6,7]…”

Imaging in Obstructive Jaundice: What a Radiologist Needs to Know before Doing a Percutaneous Transhepatic Biliary Drainage

“…It can present with acute symptoms or gradually progressive indolent course depending upon the underlying cause. 2 Percutaneous transhepatic biliary drainage (PTBD) is a minimally invasive procedure for drainage of the biliary system. 3 PTBD is preferred as the primary procedure in patients who have had prior bilio-enteric anastomosis, or those who are unsuitable for endoscopic retrograde cholangiopancreatography (ERCP) due to other reasons.…”