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

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