Aetiological incidenceof obstructive jaundice androle of endoscopic retrograde cholangiopancreatography in it's evaluation and therapy in nepalese set up. (Record no. 515)
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| 000 -LEADER | |
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| fixed length control field | 03498 a2200229 4500 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | OSt |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20220906184544.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 190211b ||||| |||| 00| 0 eng d |
| 060 ## - NATIONAL LIBRARY OF MEDICINE CALL NUMBER | |
| Classification number | THS-00060 |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Adhikari, Shital. |
| 9 (RLIN) | 1648 |
| 245 ## - TITLE STATEMENT | |
| Title | Aetiological incidenceof obstructive jaundice androle of endoscopic retrograde cholangiopancreatography in it's evaluation and therapy in nepalese set up. |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | c2001. |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | ii, 90p. |
| 500 ## - GENERAL NOTE | |
| General note | Thesis Report. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | ABSTRACT: 1. Objectives: 1. To determine the aetiological incidence of the obstructive jaundice in our centres. 2. To assess the role of Endoscopic Retrograde Cholangiopancreatography in its evaluation and therapy in our set up. 2. Design: Prospective cross-sectional descriptive study of 50 consecutive patients of obstructive jaundice 3. Setting: Patients with obstructive jaundice admitted in Bir and Kathmandu hospitals. 4.Subjects: Patients with features of cholestasis with or without cholangitis and cholestatic picture on liver function tests and ultrasound showing common blie duct diameter > 8mm were included in the study. 5. Observations: Out of 50 patients included in the study, 40% were male and 60% female; the commonest age group was 61-70 years. Most of the patients presented with multiple complaints but almost all (92%), vomiting 960%), weight loss (48%) and right hypochondriac pain (40%) were the other complaints. 16% patients (all with malignant cause) had ascites at presentation and 4% had metastatic deposit at left supraclavicular lymph node. 80% patients had prolonged PT (difference > 4sec) but it was correctable in 96% of cases with vitamin K1. With endoscopic retrograde cholangiopancreatography, visualization of the biliary and pancreatic tree (when indicated) was acjoeved om 97.5% cases and diagnosis was established correctly in 98% cases. Removal of common bile duct stome by endoscopic sphincterotmy was successful in 77.77% case, stenting for malignant biliary stricture in 66.66% and removing parasites obstructing the common bile duct in 100%. Mortality was only 2% and hospital stay was significantly less (1.74+-1.84 versus 15.666+-3.65 days) when compared with the mean hospital stay of patients undergoing surgical procedure (p=0.0035). The commonest cause of obstructive jaundice in our centres was choledocholithiasis (48%) followed by carcinoma of the head of pancreas (14%) and carcinoma of the gallbladder (12%). Parasites (3%), post-operative biliary stricture 93%) and cholangiocarcinoma (2%) were less frequent causes. 6. Conclusion: Choledocholithiasis was the commonest cause of obstructive jaundice (48%) with female predominance followed by carcinoma of the head of pancreas (14%) with male predominance and carcinoma of the gallbladder (12%) with male to female ratio of 1:5. Visualisation of pancreaticobiliary tree was achieved in 97.5% cases by endoscopic retrograde cholangiopanereatography and diagnosis was established correctly in 98% cases. The therapeutic success was 77.77% in common bile duct stone removal, 66.66% in stenting the duct in malignant stricture and 100% in removing parasites obstructing the common bile duct. Mortality was low only 2% and hospital stay was significantly less. |
| 546 ## - LANGUAGE NOTE | |
| Language note | Eng. |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Aetiologicalincidence. |
| 9 (RLIN) | 1738 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Jaundice. |
| 9 (RLIN) | 1739 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Cholangiopancreatography. |
| 9 (RLIN) | 1740 |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="http://nhrc.gov.np/contact/">http://nhrc.gov.np/contact/</a> |
| Link text | Visit NHRC Library |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | National Library of Medicine |
| Koha item type | Thesis Report |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Home library | Current library | Shelving location | Date acquired | Total Checkouts | Full call number | Barcode | Date last seen | Price effective from | Koha item type |
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| National Library of Medicine | Nepal Health Research Council | Nepal Health Research Council | Reference | 07/12/2012 | THS-00060/ADH/2001 | THS-00060 | 07/12/2012 | 07/12/2012 | Thesis Report |