Abstract

Profile of Malignant Extrahepatic Biliary Obstruction at an Indian Tertiary Care Centre: A Dismal Picture

Highlights

  • Malignant Extra Hepatic Billiary Obstruction (EHBO) is a common condition seen by gastroenterologist

  • Data was collected over six years data of patients with malignant EHBO admitted to our hospital

  • On comparing presenting symptoms of different etiologies we observed that cholestatic symptoms were comparable between different groups, while pain in RHQ was more common in Gallbladder carcinoma (GBC) and carcinoma head of pancreas (CAHOP) in periampullary carcinoma (PAC) and CCA patients

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Summary

Introduction

Malignant EHBO is a common condition seen by gastroenterologist. There is scant data from south Asia about demography, clinical, laboratory, imaging & endoscopy features of patients with malignant EHBO. Patients with malignant extrahepatic biliary obstruction are provided biliary drainage through Endoscopic and percutaneous biliary drainage with or without metal stent placement by our department, while resectable patients of periampullary carcinoma, cholangiocarcinoma and carcinoma head of pancreas undergo preoperative biliary drainage in case of high bilirubin ( >20mg/dl) or cholangitis. We analyzed our last more than six years data by reviewing inpatient files of patients with collection and analysis of complete data. Malignant EHBO is a common condition seen by gastroenterologist. There is scant data from south Asia about demography, clinical, laboratory, imaging & endoscopy features of patients with malignant EHBO

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