Profile and pattern of obstructive jaundice cases from a tertiary care teaching hospital of Uttar Pradesh

Ashok Kumar Gupta; Abhishek Singh; Shwetank Goel; Rakesh Tank

doi:10.18203/2349-2902.isj20170225

Authors

Ashok Kumar Gupta Department of General Surgery, SRMS Institute of Medical Sciences, Bareilly, Uttar Pradesh, India
Abhishek Singh Department of Community Medicine, SHKM Govt. Medical College, Mewat, Haryana, India
Shwetank Goel Department of Microbiology, Teerthanker Mahaveer Medical College, Moradabad, Uttar Pradesh, India
Rakesh Tank Department of General Medicine, SHKM Govt. Medical College, Mewat, Haryana, India

DOI:

https://doi.org/10.18203/2349-2902.isj20170225

Keywords:

Clinical features, Pattern, Patients, Obstructive jaundice

Abstract

Background: The common etiologies of obstructive jaundice have been reported to vary from one centre to another and from one individual to another. Only a very few studies have been conducted on this topic and none from the state of Madhya Pradesh, India. The present study was planned to study the profile and pattern of obstructive jaundice cases in the region of Madhya Pradesh, India.

Methods: A retrospective cohort of patients with obstructive jaundice admitted to SRMS Institute of Medical Sciences, Bareilly, Uttar Pradesh, India during past one year i.e. January to December 2014 formed the study population. In this study, all the eligible patients positively diagnosed as extrahepatic obstructive jaundice were included in this study. Study tools were records of the patients such as information/records from MRD department and clinical case sheets.

Results: Malignant causes (63.89%) were more frequent than benign causes (36.11%). More than 50% cases were in the age group of 55-75 years. Sex wise males outnumbered females. Among the malignant causes of obstructive jaundice, cancer head of pancreas (60.87%) and cholangiocarcinoma (17.39%) were common causes whereas among the benign causes of obstructive jaundice, choledocholithiasis (76.92%) and benign biliary strictures (15.38%) were common causes.

Conclusions: Jaundice (91.67%), loss of appetite (77.78%) and pain abdomen (75%) were three most common modes of presentation of obstructive jaundice cases.

Metrics

Metrics Loading ...

References

Mohamed S, Syed AI. Management of obstructive jaundice: experience in a tertiary care surgical unit. Pakistan J Surgery. 2007;23:23-5.

Ghaffar A, Buledi GQ, Imran M. Role of imaging in obstructive jaundice. J Surg Pakistan. 2004;9:24-6.

Khurram M, Durrani AA, Hasan Z, Butt AUA, Ashfaq S. Endoscopic retrograde cholangiopancreato- graphic evaluation of patients with obstructive jaundice. J Coll Physicians Surg. 2003;13(6):325-8.

Russell RCG. The gall bladder and bile duct. In: Russell RCG, Williams NS, Bulstrode CJK. editors. Bailey and Love’s Short Practice of Surgery. 24th ed. London. Arnold Publishers. 2004:1094-1095.

Acalovschi M. Cholangiocarcinoma: risk factors, diagnosis and management. Rom J Intern Med. 2004;42:41-58.

Siddique K, Ali Q, Mirza S, Jamil A, Ehsan A, Latif S, Malik AZ. Evaluation of the aetiological spectrum of obstructive jaundice. J Ayub Med Coll. 2008;20(4):62-6.

Sharma MP, Ahuja V. Aetiological spectrum of obstructive jaundice and the diagnostic ability of ultrasonography: A clinician’s perspective. Trop Gastroenterol. 1999;20:167-9.

Lawal D, Oluwole S, Makanjuola D, Adekunle M. Diagnosis, management and prognosis of obstructive jaundice in Ile-Ife, Nigeria. West African J Med. 1998;17(4):255-60.

Phillipo LC, Emmanuel SK, Mabula M. Etiological spectrum and treatment outcome of Obstructive jaundice at a University teaching Hospital in northwestern Tanzania: a diagnostic and therapeutic challenges. BMC Res Notes. 2011;4:147.

Bekele Z, Yifru A. Obstructive jaundice in adult Ethiopians in a referral hospital. Ethiopian Medical Journal. 2000;38(4):267-75.

Khurram S, Qasim A, Shirin M, Aiza J, Aisha E, Sarmad L, Asif ZM. Evaluation of the aetiological spectrum of obstructive jaundice. J Ayub Med Coll. 2008;20(4):62-6.

Syed N, Mohammad SA, Umair UI, Shafiq UR. Etiological spectrum of obstructive jaundice. Medical Channel. 2010;16:299-301.

Rahman GA, Yusuf IF, Faniyi AO, Etonyeaku AC. Management of patients with obstructive jaundice: experience in a developing country. Nigierian Quarterly J Hospital Med. 2011;21(1):75-9.

Warren KW, Christophil C, Armedariz R, Basu S. Current trends in the diagnosis and treatment of carcinoma of the pancreas. Am J Surg. 1983;145:813-8.

Wagensveld BA, Coene V, Gulik TM, Obertop RH, Gouma DJ. Outcome of palliative biliary and gastric bypass surgery for pancreatic head carcinoma in 126 patients. Br J Surg. 1997;84:1402-6.