[Analysis of causes of mechanical jaundice and treatment methods in a group of 103 hospitalized patients].
103 consecutive hospitalized patients at the age from 23 to 87 years with mechanical jaundice are presented in this study. In 58 patients, a cause of the jaundice was ductal calculosis, in four, a damage to bile duct after cholecystectomy. In 43 patients (74%), a calculus was removed through endoscopy, in 2 patients (4%) through Kehr's drain, 13 patients required an operation, in 41 patients, jaundice resulted from a neoplasm including 22 patients with a tumor of the head of pancreas, in 9 neoplasm of gall bladder, in 4 tumor of liver invagination, in 4 tumor of distal part of bile duct, in 2 neoplasm of Vater's papilla. 8 patients out of 28 with neoplastic tumor of pancreatoduodenal field had proximal pancreatoduodenectomy performed (29%). 1 patient out of 4 with a tumor of liver invagination had a tumor removed together with II and III segment of liver with the following right side hepatoenterostomy. No perioperational deaths were noted. In two patients after pancreatoduodenectomy (25%), a fistula in pancreatoenterostomy occurred. Due to the advanced stage of the neoplastic disease, resections in tumors of pancreatoduodenal fields and of liver invagination were only possible respectively in 29 and 25%. In most case of ductal calculosis or residual ductal calculosis, a removal of calculi was possible through endoscopy.
Piecuch
Jerzy
J
Katedry i Oddziału Klinicznego Chirurgii Ogólnej i Gastroenterologicznej w Bytomiu.
Rdes
Jerzy
J
Sosada
Krystyn
K
Arendt
Jerzy
J
Klakla
Krzysztof
K
Orkisz
Witold
W
Waniczek
Dariusz
D
Rudzki
Marek
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D014670:Ampulla of Vater / Q000503:physiopathology; D001650:Bile Duct Neoplasms / Q000150:complications / Q000601:surgery; D002763:Cholecystectomy / Q000009:adverse effects; D003138:Common Bile Duct Neoplasms / Q000150:complications / Q000601:surgery; D005260:Female; D042882:Gallstones / Q000150:complications; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology* / Q000628:therapy*; D008113:Liver Neoplasms / Q000150:complications / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000150:complications / Q000601:surgery; D016577:Pancreaticoduodenectomy / Q000009:adverse effects / Q000379:methods; D013997:Time Factors; D016896:Treatment Outcome