Diagnostic Findings and ERCP Treatment in Patients with Obstructive Jaundice during two years at H. Adam Malik Hospital, Medan

Authors

  • Gontar A. Siregar
  • Juwita Sembiring
  • Mabel Sihombing
  • Betthin Marpaung
  • Sri Sutadi
  • Abiran Nababan
  • Lukman Hakim Zain
  • Pengarapen Tarigan

DOI:

https://doi.org/10.24871/42200339-42

Abstract

Background: The methods of ERCP have been used for diagnostic and therapeutic purposes to pass bile fluid and extract stones from the bile duct in patients with obstructive extrahepatic jaundice. Method: A retrospective study was performed on patients with obstructive extrahepatic jaundice patients who underwent ERCP during a two-years time period from January 1999 to December 2000. ERCP was performed with a premedication of 10 mg midazolam, followed by a chollangiography contrast containing 1 mg/dl of Garamicin and 25 mg of Pethidine if sphincterotomy was performed. Results: From 126 patients with obstructive extrahepatic jaundice treated with ERCP, the male to female ratio was 1.86:1. The majority of the (group) of patients were between 51-60 years of age (33.3 % ). The youngest patient (group) was 24 years and the oldest 97 years. The diagnostic study found the following cases: normal 3 cases (2.8%), bile duct stone 46 cases (43.4%), carcinoma of ampula vater 20 cases (18.9%), CBD tumor 7 cases (6.6%), carcinoma of head of pancreas 2 cases (1.9%), diverticle 4 cases (3.8%), duodenal tumor 1 case (0.9%), carcinoma of ampula vater and bile duct stone 1 case (0.9%), SOD 5 cases (4.7%), CBD stricture 1 case (0.9%) and failure 16 cases (15.1%). The patients receivied the following treatment: sphyncterotomy 36 cases (51.4%), stent application 11 cases ( 15.7%), sphincterotomy with stent 18 cases (25.7%) and basket method 5 cases (7.1%). Keywords: ERCP, obstructive jaundice
VOLUME 4, ISSUE 2, August 2003

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Published

2003-01-08

How to Cite

Siregar, G. A., Sembiring, J., Sihombing, M., Marpaung, B., Sutadi, S., Nababan, A., Zain, L. H., & Tarigan, P. (2003). Diagnostic Findings and ERCP Treatment in Patients with Obstructive Jaundice during two years at H. Adam Malik Hospital, Medan. The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy, 4(2), 39–42. https://doi.org/10.24871/42200339-42

Issue

VOLUME 4, ISSUE 2, August 2003

Section

Original Articles

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