Study of cases of obstructive jaundice due to biliary and pancreatic tumors

Zahra Z. Painter; Manoranjan R. Kuswaha; Meet V. Dholaria; Tanveer N. Malek

doi:10.18203/2349-2902.isj20242126

Authors

Zahra Z. Painter Department of General Surgery, Smt. N.H.L. Municipal Medical College, Ahmedabad, Gujarat, India
Manoranjan R. Kuswaha Department of General Surgery, Smt. N.H.L. Municipal Medical College, Ahmedabad, Gujarat, India
Meet V. Dholaria Department of General Surgery, Smt. N.H.L. Municipal Medical College, Ahmedabad, Gujarat, India
Tanveer N. Malek Department of General Surgery, Smt. N.H.L. Municipal Medical College, Ahmedabad, Gujarat, India

DOI:

https://doi.org/10.18203/2349-2902.isj20242126

Keywords:

Malignancy, Obstructive jaundice, Pancreatic tumors

Abstract

Obstructive jaundice has recently become more common, particularly among malignant cases. The aim was to study, evaluate and compare various operative managements for obstructive jaundice due to biliary and pancreatic tumors. This prospective study was conducted by random selection of 20 cases presenting with obstructive jaundice due to biliary and pancreatic tumors at a tertiary care hospital affiliated with Smt. N.H.L. Municipal Medical College. Majority of patients were in age group 51-60 years (35%) and 61-70 years (20%). Males (70%) were found to be in higher proportion compared to females (30%). Most comm on presenting symptom was jaundice (90%). Most common cause was periampullary carcinoma (60%). It was found that the most common complication following Whipple’s procedure and Triple Bypass Surgery was pancreatic fistula.

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References

Shrikhande SV, Barreto SG, Sirohi B, Bal M, Shrimali RK, Chacko RT, et al. Indian Council of Medical Research consensus document for the management of pancreatic cancer. Indian J Med Paediatr Oncol. 2019;40:9-14.

Muzaffar A, Ahmad N, Faizullah. Incidence of Malignant Obstructive Jaundice - a Study of Hundred Patients at Nishtar Hospital Multan | Annals of King Edward Medical University. Incidence of Malignant Obstructive Jaundice - a Study of Hundred Patients at Nishtar Hospital Multan. Annals King Edward Med Univ. 2004;10:1.

Vijay S, Gourdas C, Richa S, Vivek AS. Profile of Malignant Extrahepatic Biliary Obstruction at an Indian Tertiary Care Centre: A Dismal Picture. Adv Res Gastroentero Hepatol. 2017;2(4):555591.

Ashraf AZ, Zytoon AA, Abdel Hady MA. Magnetic Resonance Cholangiopancreatography in malignant obstructive jaundice. Meoufia Med. 2017;30:110-5.

Shetty TS, Smruti RG, Shaikh S, Kumar V. Malignant obstructive jaundice: a study of investigative parameters and its outcome. J Evid Based Med Healthcare. 2016:3752-9.

Karim SAM, Abdulla KS, Abdulkarim QH, Rahim FH, The outcomes and complications of pancreaticoduodenectomy (Whipple procedure): Cross sectional study. Int J Surg. 2018;52:383-7.

Aoki S, Miyata H, Konno H, Gotoh M, Motoi, Kumamaru F, et al. Risk factors of serious postoperative complications after pancreaticoduodenectomy and risk calculators for predicting postoperative complications: a nationwide study of 17,564 patients in Japan. J Biliary Pancreat Sci. 2017;24:243-51.

Müller MW, Friess H, Köninger J, Martin D, Wente MN, Hinz U, et al. Factors influencing survival after bypass procedures in patients with advanced pancreatic adenocarcinomas. Am J Surg. 2008;195(2):221-8.