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  • Colorful Retro Vintage Illustration Animated Medical Technology Education Science Presentation

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    Hayab Safdar
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    This document discusses treatment options for obstructive jaundice from various underlying causes. It lists causes such as gallstones, cancer of the gallbladder, common bile duct stricture, pancreatic cancer, and more. Treatment approaches are then outlined for each cause, including ERCP and cholecystectomy for gallstones, extended surgery for gallbladder cancer, endoscopic stenting or sphincterotomy for strictures, Whipple procedure or stenting/drainage for pancreatic cancer, and complete excision with biliary reconstruction for choledochal cysts. The goal is to relieve bile duct obstruction through minimally invasive or open surgical procedures depending on the specific condition present.

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    This document discusses treatment options for obstructive jaundice from various underlying causes. It lists causes such as gallstones, cancer of the gallbladder, common bile duct stricture, pancreatic cancer, and more. Treatment approaches are then outlined for each cause, including ERCP and cholecystectomy for gallstones, extended surgery for gallbladder cancer, endoscopic stenting or sphincterotomy for strictures, Whipple procedure or stenting/drainage for pancreatic cancer, and complete excision with biliary reconstruction for choledochal cysts. The goal is to relieve bile duct obstruction through minimally invasive or open surgical procedures depending on the specific condition present.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    6 views10 pages

    Colorful Retro Vintage Illustration Animated Medical Technology Education Science Presentation

    Uploaded by

    Hayab Safdar
    This document discusses treatment options for obstructive jaundice from various underlying causes. It lists causes such as gallstones, cancer of the gallbladder, common bile duct stricture, pancreatic cancer, and more. Treatment approaches are then outlined for each cause, including ERCP and cholecystectomy for gallstones, extended surgery for gallbladder cancer, endoscopic stenting or sphincterotomy for strictures, Whipple procedure or stenting/drainage for pancreatic cancer, and complete excision with biliary reconstruction for choledochal cysts. The goal is to relieve bile duct obstruction through minimally invasive or open surgical procedures depending on the specific condition present.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    of 10

    Treatment of

    Obstructive
    Jaundice
    Presented by:
    Nayab Safdar
    Ayesha Ijaz
    Topic Outline

    CHOLELITHIASIS CA GALLBLADER

    STENOSIS OF SPHINCTER
    STRICTURE
    ODDI

    CHOLEDOCAL CYST CA HEAD OF PANCREAS


    Causes of Obstructive Jaundice
    Obstructive jaundice is caused by conditions that block the normal flow of bile
    from the liver into the intestines including:

    • Cholelithiasis (gallstones)
    • Cholangiocarcinoma
    • Carcinoma pancreas
    • Biliary stricture (mainly iatrogenic)
    • Cholangitis (inflammation of the common bile duct)
    • Congenital structural defects
    • Choledochal cysts (Cysts of the bile duct)
    • Lymph node enlargement
    • Pancreatitis
    • Trauma
    cholelithiasis
     ERCP for therapeutic
     Laproscopic
    cholecystectomy
     Open cholecystectomy
    Choledolithiasis

    • ERCP

    CHOLEDOCHOTOMY
    • Laparoscopically
    • Open surgery-by longitudinal incision on duct T-tube can be placed
    there which is allowed to drain externally. When pt recovers then
    cholangiogram is performed after 7 day if clear then it is taken out
    CA GALLBLADER
    • T1 mucosa and submuca
    Simple cholecystectomy
    • T2 muscularis propria
    Extended cholecystectomy-removal of
    gallbladder segment 4b and 5 of liver and
    lymphadenectomy of cystic duct,
    portal, posterior pancreaticoduodenal
    • T3 + T4 invasion of liver
    Complete tumor excision with extended
    hepatectomy
    Stricture Stenosis of sphincter Choledocal cyst
    oddi

    Endoscopic stenting Endoscopic sphincterotomy Complete excision with


    construction of biliary-enteric
    anastomosis in roux-en-y
    fashion
    hepaticojejunostomy
    Ca head of pancreas
    Whipple resection
    Head and neck of pancrease , If not operable then
    duodenum, distal part of Endoscopic sphincterotomy along
    stomach,CBD along with gall blader stenting with percutaneous
    ,10-15 cm of jejunum , regional LN tratranshepatic billary drainage
    is removed
    Thank you for
    listening!
    Kindly hesitate to ask any questions!

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