Online ISSN: 2515-8260

Keywords : Choledochoduodenostomy


A Clinical Study of Obstructive Jaundice Secondary to Choledocholithiasis

Mohammed Shazad Ahmed, Syed Mohammed Sajjad Husayni, Mohammed Naqi Zain

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 5048-5054

Background:Humans have long known about jaundice. Obstructive jaundice is
common in general surgery. Intrahepatic or extrahepatic blockage can cause
obstructive jaundice. Most patients with suspected biliary blockage start with an
abdominal ultrasound. This study aims to determine the prevalence of obstructive
jaundice owing to choledocholithiasis in my hospital, the role of ultrasound in detecting
such cases, and the treatment options available at Princes Dusra Hospital Hyderabad.
Materials and Methods: Between June 2019 and June 2021, 24 patients with obstructive
jaundice due to choledocholithiasis were studied at Princes Esra Hospital in Hyderabad.
These patients received surgery. The proforma was used to assess these patients both
pre- and post-operatively.
Results: Obstructive jaundice due to choledocholithiasis was 0.14 percent in hospitals.
The patients were mostly female (16:4).Symptoms presented in decreasing order of
frequency. 100% jaundice, 95% abdominal pain, 50% nausea/vomiting, 50% itching
(35 percent),Fever with chills and rigours (25%) Steatorrhea (10%) and abdominal
mass (5%).Ultrasound showed stones in 16 (80%) and dilated CBD in all 24 (100%)
instances (100 percent ). 11 patients had choledocholithiasis. Four instances had
choledocholithiasis and cholelithiasis. The investigation found one incidence of
choledocholithiasis with CBD stricture. The most common surgical technique was
choledochoduodenostomy (50%) followed by choledochotomy with T-tube drainage
(40%) One case each of choledocho-jejunostomy and transduodenal sphincter. All
twenty instances had cholecystectomy. All cases were monitored for 1-6 months with no
complaints.
Conclusion:Patients with obstructive jaundice are more susceptible to infections due to
impaired liver function. It's also critical to identify specific risk factors in biliary tract
surgery patients. Our study shows that ultrasound is the cheapest, safest, and most
reliable diagnostic technique for postoperative jaundice. Despite the advent of
laparoscopic CBD exploration, open, internal, and external biliary drainage procedures
are still used successfully in areas lacking technology and experience.