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KMID : 0365819910310020115
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Journal of Pusan Medical College
1991 Volume.31 No. 2 p.115 ~ p.121
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A Clinical Observation On Percutanous Transhepatic Biliary Drainage to Patients with obstructive Jaundice
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Abstract
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Obstructive jaundice is one of major causes for which operations are performed on biliary system. Surgeons have to manage carefully because of high morbidity and mortality rate unless early diagnosis and early treatment are instituted.
Patients with obstructive jaundice provoke a secondary bacterial infection due to current bile caused by biliary obstruction which may result in fatal prognosis because of cholangitis, liver abscess, bile peritonitis or sometimes sepsis.
The authors studied 58 cases of obstructive jaundice, who were given preoperative biliary drainage. The results obtained are as follows
1) 27 cases(47 %) were malignant tumors and 21 cases (36%) were gallstone, and 10 cases (17%) were benign disease without stone
2) The sex ratio of male to female was 1 : 0.75, and the most common age group was 6th decade.
3) The most common symptom was RUQ abd. pain(74%), and the most common physical sign was jaundice (100%)
4) Serum bilirubin and alkaline phosphatase were markedly increased in all cases.
5) The most frequently performed operative procedure was cholecystectomy and transduodenal sphincteroplasty, which was 12 r s s (22%).
6) Positive bile culture was obtained in 35 cases out of 58 cases (60%) and E. coli was the most frequent organism (71%).
7) The postoperative mortality rate was 5%, and post PTBD mortality rate was 6%.
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