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TITLE:

FREQUENCY OF STONES, STRICTURES AND CARCINOMA HEAD OF PANCREAS IN PATIENTS WITH OBSTRUCTIVE JAUNDICE

AUTHORS:

Dr.Shireen Khan, Dr.Anam Nasim, Noor ul bashar

ABSTRACT:

Objective: The target of this examination is to know the recurrence of choledocholithiasis, biliary injury and carcinoma head of pancreas among patients having obstructive jaundice. Study Design: Cross-sectional, unmistakable examination Duration and place of Study: This examination was directed at the Department of Gastroenterology, four Medical units and four Surgical units at Fouji foundation hospital islamabad from January 2019 to June 2019. Materials and Methods: An aggregate of 201 patients determined as obstructive jaundice to have serum bilirubin level of more noteworthy than 3 mg/dl were incorporated. The Intra and Extra hepatic biliary channels, presence of nerve stones, regular bile conduit and any stomach mass were seen by ultrasonography mid-region. Endoscopic retrograde cholangiopancreatography likewise done in patients with obstructive jaundice. Information with respect to choledocholithiasis, carcinoma head of pancreas and biliary injury was gathered. Results: This examination included age range from 40 to 70 years with mean period of 52.24 ± 5.34 years. A bigger number of the patients was between 51 to 60 years age bunches a mean of 57.8%. Dominant part of patients were females (62.7%). Mean weight was 78.78 ± 12.52 Kg and mean BMI was 26.293±2.87 kg/m2. The recurrence of choledocholithiasis was 33.3%, carcinoma of head of pancreas 30.8% and biliary injury was 7%. Conclusion: The outcomes inferred that Choledocholithiasis is the commonest amiable etiology among patients with obstructive jaundice. It is more pervasive in females. This examination shows that early analysis and mediation has huge part for the forecast of patients with obstructive jaundice. Key Words: Obstructive Jaundice, Choledocholithiasis, Carcinoma head of pancreas, Biliary stricture.

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