Abstract
The term “obstructive jaundice” implies the partial or complete obstruction of the flow of bile and its components into the intestinal tract. Delayed flow or cholestasis may occur within the hepatic ductules and ducts (hepatic cholestasis), or there may be a mechanical cause in the extrahepatic biliary system (extrahepatic cholestasis). It is this latter group of conditions that are usually referred to as cases of obstructive jaundice. The importance of early diagnosis and timely treatment of obstructive jaundice or cholestasis is crucial, since pathological changes (e.g. secondary biliary cirrhosis) can occur in the liver in unrelieved obstruction. The current investigation and management of obstructive jaundice is now the province of Multidisciplinary Teams (composed of surgeons, radiologists, pathologists, gastroenterologists and oncologists) and, in certain cases, is preferably undertaken in specialized centres. This contribution should be read in conjunction with Johnson, page 117.
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