Biliary bypass surgery – Analysis of indications &amp; outcome of different procedures

Talpur, K. Altaf Hussain; Malik, Arshad Mahmood; Memon, Amir Iqbal; Qureshi, Jawed Naeem; Sangrasi, Ahmed Khan; Laghari, Abdul Aziz

doi:10.12669/pjms.293.3394

Cited by 6 publications

(5 citation statements)

References 13 publications

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“…Mean age of patients 62.5 49.5 47.15 42 47 In this study, common bile duct stone was the main aetiology for jaundice when compared to Nadkarni et al 8 Kar et al 9 and Phillipo Chalya et al 10 in which malignancies were more common. This study is comparable with Talpur et al 6 and Siddique et al 5 where benign causes of obstruction were more common. In this study, malignancy was 30% with other categories being benign stricture and Mirizzi's syndrome.…”

Section: Present Studysupporting

confidence: 92%

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A Study on Incidence, Clinical Profile, and Management of Obstructive Jaundice

Anand¹,

Panda²,

Senapati³

et al. 2016

jebmh

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BACKGROUND Jaundice is a frequent manifestation of biliary tract disorders and the evaluation and management of obstructive jaundice is a common problem faced by the general surgeon. During the last decade significant advances have been made in our understanding with regards to the pathogenesis, diagnosis, staging, and efficacy of surgical and nonsurgical management of obstructive jaundice. To diagnose the cause, site of obstruction, and management of a case of surgical jaundice is indeed a challenging task for the surgeon. Hence, a comprehensive study of the aetiology, clinical presentation, and management of obstructive jaundice is of paramount importance in the appropriate management of these patients. AIM This study evaluates the age and sex distribution, clinical presentation, aetiology, and the different modalities of treatment of obstructive jaundice. MATERIALS AND METHODS This prospective study was conducted in MKCG Medical College and Hospital, Berhampur, Odisha from September 2013-August 2015. Out of all surgical admissions from September 2013 to August 2015 in our hospital, 80 cases of surgical jaundice of different age group were selected randomly. A detailed history and clinical examination was done and appropriate investigations recorded. Patients were assessed preoperatively and later subjected to surgery or palliative procedure depending on the need. Postoperatively, patients' condition was assessed and complications were documented. Patients were followed up for mean period of 6 months where patients underwent surgical intervention/ERCP, any tissue removed was subjected for histopathological examination. RESULTS The occurrence of surgical jaundice was maximum in the 31-70 year age group. All patients presented with icterus and ultrasonogram was the most common investigation of choice. Most common cause of obstruction was choledocholithiasis followed by malignancy. CONCLUSION Commonest symptom of surgical jaundice in this study was pain abdomen and jaundice as per history. Commonest cause for surgical jaundice was found to be choledocholithiasis. Open exploration of common bile duct under experienced hands was found to be a good treatment modality in the management of obstructive jaundice.

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Section: Present Studysupporting

confidence: 92%

“…Sharma MP et al4 mean age was 62.5. In this study, the mean age of patients was 47±12.3, which corresponds to studies like Siddique et al5 and Talpur et al6 with mean age of 49.5 and 47.15. In Lawal D et al7 , mean age was 42.…”

supporting

confidence: 87%

A Study on Incidence, Clinical Profile, and Management of Obstructive Jaundice

Anand¹,

Panda²,

Senapati³

et al. 2016

jebmh

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“…Reports from the South-Western part of Nigeria are also similar [33]. This is in stark contrast to other studies that reported benign causes as the most common [34,35]. The benign causes are quite varied, chronic pancreatitis and common bile duct stones are however, the most reported in our study (Table 1).…”

Section: Discussionsupporting

confidence: 75%

Palliative Cholecysto-Jejunostomy for Extra-Hepatic Billiary Obstruction Under Local Anaesthesia: A Rewarding Experience

Aliyu¹,

Ab²

2021

JJGH

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“…4 It is worth noting that several other studies have also reported that comparable age groups are affected by obstructive jaundice. [16][17][18] Our study revealed that 59% of the patients exhibited malignant causes for their development, while 41% of the patients had benign causes. Anand et al conducted a study on the clinical profile and treatment modalities for obstructive jaundice and reported that choledocholithiasis was the most frequent cause, followed by malignancy.…”

Section: Discussionmentioning

confidence: 99%

“…Talpur et al-1:2.32; Lawal et al-1:0.78; Sharma et al-1.05:1.15-18, Anand et al-1.105, Khan et al-1.25:1, Attiri et al-1.2:1 [15][16][17][18][19][20]. In the current study, it was observed that older age groups were more frequently affected by malignant causes than their younger counterparts were.…”

mentioning

confidence: 99%

Exploring the causes of obstructive jaundice: a single-centre retrospective analysis

Murshid,

Al-Alhazmi,

Ansari

2024

Int Surg J

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Background: Obstructive jaundice is a condition caused by bile flow blockage and has various benign and malignant etiologies. Accurate and timely diagnosis is essential for effective treatment, particularly in cases of possible malignancy. Advances in diagnostic methods have improved our understanding and management of diseases. This study aimed to investigate the causes and clinical presentation of obstructive jaundice in Saudi Arabian population. Methods: This study included 193 patients diagnosed with obstructive jaundice admitted to the surgical wards from January 2019 to December 2022. Methods involved comprehensive clinical evaluations, medical history reviews, physical examinations, laboratory tests, and diagnostic imaging to identify the underlying disease. Data were collected systematically and statistically analyzed. Results: The study included 193 patients with a male-to-female ratio of 1:1.4, and an average age of 54.10 years. Malignant causes, primarily carcinoma of the pancreatic head, accounted for 59.4% of cases, while benign causes, notably choledocholithiasis, accounted for 41.6%. Symptoms included jaundice, abdominal pain, and loss of appetite, with treatment varying according to the identified cause. Conclusions: The study highlights that obstructive jaundice is more commonly found in females and tends to be caused by benign conditions in younger people, while malignant causes are more prevalent in older individuals. The most common malignant cause is carcinoma of the pancreatic head, and leading benign cause is choledocholithiasis. For diagnosing obstructive jaundice, key imaging techniques include magnetic resonance cholangiopancreatography (MRCP), endoscopic retrograde cholangiopancreatography (ERCP), and computed tomography (CT).

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Biliary bypass surgery – Analysis of indications & outcome of different procedures

Cited by 6 publications

References 13 publications

A Study on Incidence, Clinical Profile, and Management of Obstructive Jaundice

A Study on Incidence, Clinical Profile, and Management of Obstructive Jaundice

Palliative Cholecysto-Jejunostomy for Extra-Hepatic Billiary Obstruction Under Local Anaesthesia: A Rewarding Experience

Exploring the causes of obstructive jaundice: a single-centre retrospective analysis

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