What is Surgical Obstructive Jaundice
Obstruction of the bile flow into the duodenum lead to accumultion of bile pigments.As the cause of jaundice is obstruction it is called as obstructive jaundice and as it require surgical intervention it is called as surgical obstructive jaundice
Clinical Features of Surgical Obstructive Jaundice
The most prominent clinical feature which distinguish medical jaundice from surgical jaundice is pale stool in surgical jaundice. Because of obstruction bile pigments does not reach up to intestine and stools become pale. Patient complain of itching due to accumulation of bile salts in the blood
Liver Function Tests in Surgical Obstructive Jaundice
Total bilirubin level is raised. It is conjugated type of bilirubin which is raised in obstructive jaudice. Serum alkaline phosphatase level is raised, it indicates there is obstruction in bile passage
Ultrasound is the first investigation to be done as it is non-invasive, no radiation exposure and readily available. Dilatation of Biliary radicles is indicative of obstructive biliopathy. Level of biliary tract dilatation is suggestive of site of obstruction. The most common cause of surgical obstructive jaundice is Common Bile duct stones. In old age patients malignancy can be the cause of jaundice. Small CBD stones may be missed on Ultrasound.
MRI/MRCP to detect small CBD stones missed on ultrasound. Biliary anatomy is more defined on MRI.
Vitamin K is administered to correct coagulation profile before any intervention. If patient is in cholangitis proper antibiotic and I.V fluids are administered. Specific treatment depends on the cause of CBD obstruction. The first line of treatment for CBD stones is ERCP stone clearance. Surgery is done for malignant cause of jaundice.
Consult Dr Amit Jain Best Gastroenterologist in Delhi Noida Ghaziabad for Management of Surgical obstructive jaundice. Dr Amit Jain is renowned Laparoscopic Surgeon in Delhi specialized in Laparoscopic GI Surgery.Call us at 7351088686