The incidence of Jaundice is higher in early childhood. Statistically, it was observed that males are mostly affected by jaundice than females. Jaundice is a characteristic cause of liver disease. In a recent research, it was found that the occurrence of jaundice as a malign disease was at 30 percent and as a benign disease was at 69 percent. Surgery after treatment of rectifiable risk factors decreases postoperative morbidity and mortality. Chennai gastro care provides the best obstructive jaundice treatment in Chennai. Having the best gastroenterology doctor in Chennai, we promise the best medical expertise and care.
Ducts carry bile from the liver into the gall bladder and from the gall bladder into the small intestine. Blockage of any of the ducts can occur at several levels of the biliary system, leading to biliary obstruction. Causes are associated to intra-hepatic cholestasis or extra-hepatic biliary obstruction. Both are amenable to surgical treatment and hence also called surgical jaundice. Clinical grounds alone may not suffice in the diagnosis of obstructive jaundice. The disease is progressive, painless with associations to weight loss and anorexia. Malignant neoplasms can cause intra-cystic obstruction in which the gall bladder is palpable; while calculus diseases can cause shrinkage due to prior cholecystitis, and the gall bladder is not palpable.
Malignant diseases of obstructive jaundice include cholangiocarcinoma, Klastin tumour, carcinomas of the: pancreatic head, duodenum, Ampulla of Vater, gall bladder and lymph nodes at the porta. Benign diseases are CBD, biliary stricture, choledochal cyst, stenosis of the papilla, Mirizzi’s syndrome and extra-hepatic biliary atresia.
CBD exploration: After the exploration of the common bile duct, cholecystectomy is accomplished. Routine cystic duct cholangiography is conducted along with pre-exploratory size of the stones and their location. A supra-duodenal incision is made to attain either:
Biliary calculus disease:
Extra-hepatic biliary atresia: There are three different types: atresia of the CBD, common hepatic duct and right and left ducts. A pre-operative percutaneous liver biopsy is done and a resection of the biliary tract is done thereafter. A Roux-en-y loop is conducted as reconstructive surgery.
Ampullary tumours: Small tumours < 2 cm are excised locally. These usually arise from the Ampulla of Vater or biliary duct. Follow-up endoscopy is essential in about 6 months post-operatively.
Choledocholithiasis surgery: Several midline incisions are made. The peritoneum is opened and adhesions are divided. First, the liver is retracted upwards. Then the colon and duodenum are retracted downwards. The peritoneal fold is incised and a blunt dissection defines the CBD and the cystic duct. An intra-operative cholangiography is carried out and the cystic duct is ligated and cut.
We conduct surgeries for obstructive jaundice after conducting ERCP, PTC and EUS procedures. Find the most trusted jaundice specialist doctor in Chennai at Chennai Gastro Care.
Very practical approach to my dads gallbladder stone problem .. Surgery was explained well by diagrams and he performed the surgery by key holes which made it pain free for my dad . I had consulted many in the last 1 month including
The doctor was helpful. He worked with me to select the best option for treatment and helped finalize treatment. He ensured that my appointment went ahead as planned and followed up rigorously post op too. Scar was a bit larger
The doctor was helpful. He worked with me to select the best option for treatment and helped finalize treatment. He ensured that my appointment went ahead as planned and followed up rigorously post op too. Scar was a bit larger