What are symtoms of obstructive jaundice ?
List and explain the preop preparation and postop complications of surgery for obstructive jaundice?
What is the surgery called for a little tumor in abdomen with obstructive jaundice?
Symptoms of obstructive jaundice may include:
1. Yellowing of the skin and eyes (jaundice)
2. Pale stools
3. Dark urine
4. Itchy skin
5. Abdominal pain or discomfort
6. Nausea and vomiting
7. Loss of appetite
8. Weight loss
Preoperative preparation for surgery for obstructive jaundice involves several steps:
1. Evaluation: The patient undergoes a thorough assessment, including medical history, physical examination, blood tests, imaging studies (such as ultrasound, CT scan, or MRI), and possibly a liver biopsy to determine the cause and severity of the obstruction.
2. Nutritional support: If the patient is malnourished, they may need to receive nutritional supplements or undergo tube feeding to improve their nutritional status before surgery.
3. Liver function optimization: In some cases, medications can be given to optimize liver function and reduce complications during surgery.
4. Management of associated conditions: Any underlying conditions like infections or pancreatitis may need to be treated or stabilized prior to surgery.
Postoperative complications that can occur after surgery for obstructive jaundice include:
1. Infection: Infections at the surgical site or in the bile ducts may occur and can lead to fever, pain, and other signs of infection.
2. Bleeding: Excessive bleeding during or after surgery may require additional intervention, such as blood transfusion or reoperation.
3. Bile leakage: The connection made during surgery to bypass the obstruction can sometimes leak bile, leading to abdominal pain, infection, or the formation of fluid collections.
4. Stricture formation: Scar tissue can develop at the surgical site, leading to narrowing or blockage of the bile ducts, causing recurrent jaundice or other complications.
The surgical procedure performed for a little tumor in the abdomen causing obstructive jaundice is called a Whipple procedure or pancreaticoduodenectomy. This procedure involves removing the head of the pancreas, the gallbladder, part of the bile duct, and the first part of the small intestine (duodenum), and then reconstructing the digestive system to allow bile and digestive juices to flow properly.