Etiology and epidemiology of obstructive jaundice in Continental Croatia
University of Zagreb, Dubrava University Hospital, Department of Clinical Immunology and Rheumatology, Zagreb, Croatia. Collegium antropologicum
(Impact Factor: 0.61).
The etiology and epidemiology of obstructive jaundice in Continental Croatia has been studied in 174 patients. The objective of this research was also to explore the importance and efficiency of endoscopic retrograde cholangiopancreatography (ERCP) as a non-surgical method of treatment of obstructive jaundice in the population of Continental Croatia. Obstructive jaundice is the illness of elderly population which is also confirmed by the information on the average age of our patients. The frequency of illness is higher among female population, and the most frequent cause of obstructive jaundice are gallstones (54.1% of patients). In 29.8% of patients the primary or secondary malignant disease was the cause of blockage in gall flow and subsequent jaundice, and the most frequent malignant cause of obstructive jaundice is pancreas cancer in 11.5% of patients. The mean value of serum concentrations of total bilirubin, alkaline phosphatase, aspartate aminotransferase, alanine aminotransferase and gamma glutamiltransferase 24 hours before the biliary decompression by ERCP has been significantly above the upper referential value, and 24 hours after the ERCP it has dropped to normal with their statistically significant difference (p < 0.0001). The normal values of markers for synthetic liver function (total proteins and prothrombin time) have been noticed as well as elevated values of inflammatory markers in obstructive jaundice independently of etiology. Out of the total number of patients, 37.7% required the surgical treatment while 60.3% of patients were treated by ERCP, i.e. either the stone extraction or the implantation of endobiliary stent was performed.
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Purpose: This study was done to assess the role of ultrasound in diagnosis of obstructive jaundice
and to identify the most common causes and symptoms. Materials and methods: The study took
place in different Khartoum clinical centers and hospitals in the period between Jan 2014 and July
2014. A total of 150 patients with obstructive jaundice were examined using ultrasound machine,
3.5 - 7 MHz probe. Results: The study revealed that 65.33 of the study population with obstructive
jaundice were female and 34.67% was male. The most common affected groups were 46 - 65 years
old and 25 - 45 years old. The common causes of obstructive jaundice were biliary stones (61.33%)
which were common in females and abdominal masses (32.67%) which were common in females,
too. Nausea, yellowish discoloration and abdominal pain were the most common symptoms (98%,
97.33% and 96.67% respectively). The causes of obstructive jaundice showed significant difference
between males and females (P-value = 0.002). Conclusion: Ultrasound was superior diagnostic tool
in detecting and assessing biliary system obstruction, because it was easy, available, accurate and
noninvasive. The ageing and gender were considered as risk factors of obstructive jaundice.
Sonography, Evaluation, Obstructive, Jaundice
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