Obstructive jaundice; experience at teaching hospital

ABSTRACT

[1] To find out the commonest causes of obstructive jaundice [2] To find the age group most affected by obstructive jaundice and male to female ratio in these cases [3] to define the ratio of malignant and benign conditions leading to obstructive jaundice. [4] To suggest the best possible mode of treatment. Descriptive study. Allied and DHQ Hospitals Faisalabad. Novemberl999 to September 2004. 62 patients admitted through outpatient and emergency departments were included. All the patients were subjected to clinical evaluation and available investigations to reach the provisional diagnosis, which was confirmed by operative finding and histopathological reports. The maximum cases of obstructive jaundice due to benign cause were observed in the age group of 31-50 years whereas malignant jaundice maximally affected the age group of 31-60years. Male to female ratio was 12.44. Choledocholithiasis was the commonest benign cause of obstructive jaundice. Carcinoma gall bladder was the commonest malignancy causing obstructive jaundice. CBD exploration and stone extraction was employed to treat the cases of Choledocholithiasis. Majority of the cases with malignant jaundice were offered internal biliary drainage through bilioenteric anastomosis or external biliary drainage using T-tube. Choledocholithiasis is the commonest benign cause of obstructive jaundice. Carcinoma gall bladder is the commonest malignancy causing obstructive jaundice. Curative surgery is only possible for treatment in benign cases. Palliative surgery in the form of external or internal biliary drainage could be employed in malignancy due to advanced stage of disease at the time of presentation