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Category: Volume 06 Issue 07 July 2018
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Title: Observation on Surgical Jaundice due to Noncalculous Causes with Special References to Management and Prognosis

Authors: Dr Sucheta Panigrahi (MS), Dr Sanjay Kujur (MS), Dr Jitendra Kumar Sahu (MS)

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i7.119

Abstract

Introduction

Common causes of surgical jaundice are choledocholithiasis, biliary stricture, carcinoma head of pancreas and periampullary carcinoma, malignant obstruction at porta hepatis. Though   it includes   both   calculous   and   noncalculous causes, noncalculous causes are more aggressive as in this group malignant obstruction is more common. So besides the physiological and biochemical changes of obstructive jaundice there is devastating effect of malignancy. Accurate diagnosis should be made by thorough history, complete physical examination and proper investigations. Malignant obstructive jaundice patients usually presents late and early diagnosis is rather an exception than a rule. These patients need only palliative procedure like bypass. However in cases detected early, curative surgery can be done, provided the patient is fit for surgery and surgeon is experienced. Although extensive studies have been done in developed countries on various aspects of obstructive jaundice, the observation in developing countries like ours, are a few. As our diet and living habits differ from that of Western Countries, the etiology and clinical course ought to be different from that of Western people. Since study of obstructive jaundice is scarce in India and no study has been done in Western Orissa on management and prognosis of non calculous surgical jaundice, it was thought prudent to proceed with this study.

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Corresponding Author

Dr Sanjay Kujur (MS)

Department of Surgery, VSSIMSAR, BURLA, Odisha