Original Research Paper

Evaluation Of Cases Of Surgical Jaundice Correlating Imaging Investigations And Operative Findings

Abstract :

BACKGROUND: Jaundice is a French word Juanes which means yellow and denotes the presence of excess bile pigments in tissue and serum (Mc Fadden & Zinmer 1994). Diode was the first person to record that Jaundice can occur from bile duct obstruction (Young, 1973). AIMS AND OBJECTIVE: 1. To assess the clinical & biochemical picture with patients of Surgical Jaundice. 2. To study the results of different imaging investigations with clinical & operative findings & to predict diagnostic accuracy. METHODS AND MATERIALS: The present study was conducted in the surgical wards of Department of General Surgery, Narayan Medical College & Hospital, Sasaram, Bihar. Patients with obstructive jaundice who attended the surgical out-patients department or referred from other departments are included in this study. The time period of the study was from October 2017 to September 2018. The total numbers of patients were 56. The subject selection was random and only Adult cases were selected for the study. No special considerations of sex of the subjects were considered. Most of the necessary investigations special / baseline were done in collaboration with various other departments of Narayan Medical College & Hospital. RESULT: The Male: Female Ratio is 1.5:1. The pre-operative clinical laboratory, investigation was correlated with per operative and post- operative findings for benign disease. Most of the patients were in mean age of 21- 30 whereas for malignant disease patients were in mean age of 51- 60 (46.66%).The progression of jaundice throws important data on the etiology of Jaundice. There were 3 patients of Jaundice Progression of the disease as we have noted in this study. Malignant causes presented early, mostly within first 2-4 weeks of onset of Jaundice (46.6%) and some presented within first 2 weeks of rapidly progress (36.6%). The Benign causes of obstruction presented are a bit late, with maximum number presenting at 4- 8 weeks (69.2%) Only 1 case presented within first 2 weeks (3.8%). CONCLUSION: The diagnosis of obstructive Jaundice depends upon taking detailed clinical history and examination performing baseline investigations to confirm cholestatic jaundice and when necessary to detect cause and level of Jaundice.

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