Introduction: The aim of this study was to report our experience in the surgical management of mechanical jaundice. Methods: This was a 10-year retrospective descriptive study (January 2011 to August 2022), carried out in the general surgery department of the Hôpital National Ignace Deen. Patients admitted for surgery for mechanical jaundice were included. Results: We collected 22 cases of mechanical icterus out of a total of 4739 surgical procedures performed during the study period. The mean age was 46 years, with extremes of 9 and 80 years. All our patients were seen at the frank icterus stage. Ultrasound was performed in all patients. Etiologies were dominated by tumors of the pancreatic head (54.54%), and lithiasis of the main bile duct (18.18%). The average consultation time was 5.04 months, with extremes of 9 years and 80 years. Cholecystectomy was performed in over half the cases (54.54%), including three cases associated with stone extraction (13.63%). Bilio-digestive shunts were performed in 11 cases (50%), of the choledochoduodenal (13.63%) and cholecysto-jejunal (13.63%) types. Post-operative management was straightforward in 81.81% of cases, with 4 deaths (18.18%). Conclusion: Palliative bypass, due to the delay in consultation, allows remission of the signs of cholestasis, but does not change the natural course of the pathology. Mortality depends on the etiology.
| Published in | Journal of Surgery (Volume 12, Issue 2) |
| DOI | 10.11648/j.js.20241202.16 |
| Page(s) | 66-70 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Mechanical Icterus, Tumors, Lithiasis, Surgery, Biliary-Digestive Shunt
| [1] | Valls C. Naked jaundice: role of the radiologist in diagnostic and therapeutic management. J Radiol 2006; 87: 460-78. |
| [2] | Touré A, Diallo AT, Soumaoro IT, Touré BF, Diallo A, Camara N D. Cholestases extra hépatiques, état actuel de la prise en charge dans le service de chirurgie générale de l'Hôpital National Ignace Deen, Conakry Guinée. J Afr Chir Digest 2007; 7(2): 691-696. |
| [3] | Tchangai B, Tchaou M, Darre T, Alassani F, Dosseh ED, Attipou K et al. Indications and results of palliative surgery for pancreatic cancers at CHU Sylvanus Olympio. Journal of Surgery 2022; 10(1): 34-39. |
| [4] | Mouaqit O, El Alami F, Chourak M, Ouanani M, El Absi M, Echarrab M et al. Pancreatic head cancer seen in the emergency department: clinical and therapeutic aspects. J. Afri Cancer 2009; 1: 217-222. |
| [5] | Coulibaly S, Kéïta K, Sissoko S. B, Diallo M, Touré M, Sidibé S. Apport de l'échographie dans la prise le diasgnostic des tumeurs du pancréas au Service de Radiologie du CHU du Point G. J Afr Imag Méd 2013; 5(3): 164-172. |
| [6] | Bambara AT, Zida M, Ouangré E, Bambara AH, Zongo N, Traoré SS et al. Pancreatic head tumors: a diagnostic and therapeutic challenge in Ouagadougou. J Afr Cancer 2014; 6: 17-21. |
| [7] | Bellamlih H, Bouimetarham L. Mirizzi syndrome, a rare cause of biliary tract obstruction: about a case. Revue de littérature 2017; 27: 45-69. |
| [8] | Kpossou AR, Gbessi DG, Freddy F. Cancers of the pancreas at the National Hospital and University center of Cotonou: epidemiological, diagnostic, and prognostic feactures. Pan Afri 2021; 39: 18. |
| [9] | Ariane Vienne, Olivier Oberlin, Stanislas Chaussade, Bertrand Dousset, Frédéric. Prat Neoplastic icterus: for or against preoperative biliary drainage. Cancéro dig. 2010; 3(2): 1-10. |
| [10] | Sidibé BY, Dembélé BT, Bah A, Maiga A, Coulibaly A, Traoré A et al. Biliodigestive diversion in palliative surgery for pancreatic head cancer at CHU Gabriel Touré. Mali médical 2018; 23(3): 29-32. |
| [11] | Souaibou I Y, Gnagnon FHR, Seto DM, Lawni I, Attolou GR, Natta NH et al. Palliative surgery of presumed pancreatic head cancers: our experience at cnhuhkm Cotonou (Benin). J Afr chir digest 2018; 18(1): 2354–2358. |
| [12] | Koffi E, Yenon K, Ehua S, Coulibaly A, Kouassi JC, Kanga M et al. Main bile duct lithiasis in the Ivorian environment Médecine d'Afrique Noires, 1999; 46(2): 114-119. |
| [13] | Baumel H; M. Huguier: Le cancer du pancréas exocrine: diagnostic et traitement. Report presented at the 93rd French congress of surgery. J Afri du cancer 2009; 1: 212-216. |
APA Style
Anatole, K. F., Yawo, K. S., Youssouf, C. N. L., Bakary, T., Moise, L., et al. (2024). Evaluating the Surgical Treatment of Mechanical Icterus in the General Surgery Department of the Hopital Ntional Ignace Deen, Chu De Conkry. Journal of Surgery, 12(2), 66-70. https://doi.org/10.11648/j.js.20241202.16
ACS Style
Anatole, K. F.; Yawo, K. S.; Youssouf, C. N. L.; Bakary, T.; Moise, L., et al. Evaluating the Surgical Treatment of Mechanical Icterus in the General Surgery Department of the Hopital Ntional Ignace Deen, Chu De Conkry. J. Surg. 2024, 12(2), 66-70. doi: 10.11648/j.js.20241202.16
AMA Style
Anatole KF, Yawo KS, Youssouf CNL, Bakary T, Moise L, et al. Evaluating the Surgical Treatment of Mechanical Icterus in the General Surgery Department of the Hopital Ntional Ignace Deen, Chu De Conkry. J Surg. 2024;12(2):66-70. doi: 10.11648/j.js.20241202.16
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author = {Kamano Faya Anatole and Kondano Saa Yawo and Camara Naby Laye Youssouf and Traoré Bakary and Loua Moise and Barry A. and Camara Emile and Camara Kéoulen and Konaté Adama and Diallo Aboubacar Porédaka and Soumaoro Labilé Togba and Touré Aboubacar},
title = {Evaluating the Surgical Treatment of Mechanical Icterus in the General Surgery Department of the Hopital Ntional Ignace Deen, Chu De Conkry
},
journal = {Journal of Surgery},
volume = {12},
number = {2},
pages = {66-70},
doi = {10.11648/j.js.20241202.16},
url = {https://doi.org/10.11648/j.js.20241202.16},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20241202.16},
abstract = {Introduction: The aim of this study was to report our experience in the surgical management of mechanical jaundice. Methods: This was a 10-year retrospective descriptive study (January 2011 to August 2022), carried out in the general surgery department of the Hôpital National Ignace Deen. Patients admitted for surgery for mechanical jaundice were included. Results: We collected 22 cases of mechanical icterus out of a total of 4739 surgical procedures performed during the study period. The mean age was 46 years, with extremes of 9 and 80 years. All our patients were seen at the frank icterus stage. Ultrasound was performed in all patients. Etiologies were dominated by tumors of the pancreatic head (54.54%), and lithiasis of the main bile duct (18.18%). The average consultation time was 5.04 months, with extremes of 9 years and 80 years. Cholecystectomy was performed in over half the cases (54.54%), including three cases associated with stone extraction (13.63%). Bilio-digestive shunts were performed in 11 cases (50%), of the choledochoduodenal (13.63%) and cholecysto-jejunal (13.63%) types. Post-operative management was straightforward in 81.81% of cases, with 4 deaths (18.18%). Conclusion: Palliative bypass, due to the delay in consultation, allows remission of the signs of cholestasis, but does not change the natural course of the pathology. Mortality depends on the etiology.
},
year = {2024}
}
TY - JOUR T1 - Evaluating the Surgical Treatment of Mechanical Icterus in the General Surgery Department of the Hopital Ntional Ignace Deen, Chu De Conkry AU - Kamano Faya Anatole AU - Kondano Saa Yawo AU - Camara Naby Laye Youssouf AU - Traoré Bakary AU - Loua Moise AU - Barry A. AU - Camara Emile AU - Camara Kéoulen AU - Konaté Adama AU - Diallo Aboubacar Porédaka AU - Soumaoro Labilé Togba AU - Touré Aboubacar Y1 - 2024/04/28 PY - 2024 N1 - https://doi.org/10.11648/j.js.20241202.16 DO - 10.11648/j.js.20241202.16 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 66 EP - 70 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20241202.16 AB - Introduction: The aim of this study was to report our experience in the surgical management of mechanical jaundice. Methods: This was a 10-year retrospective descriptive study (January 2011 to August 2022), carried out in the general surgery department of the Hôpital National Ignace Deen. Patients admitted for surgery for mechanical jaundice were included. Results: We collected 22 cases of mechanical icterus out of a total of 4739 surgical procedures performed during the study period. The mean age was 46 years, with extremes of 9 and 80 years. All our patients were seen at the frank icterus stage. Ultrasound was performed in all patients. Etiologies were dominated by tumors of the pancreatic head (54.54%), and lithiasis of the main bile duct (18.18%). The average consultation time was 5.04 months, with extremes of 9 years and 80 years. Cholecystectomy was performed in over half the cases (54.54%), including three cases associated with stone extraction (13.63%). Bilio-digestive shunts were performed in 11 cases (50%), of the choledochoduodenal (13.63%) and cholecysto-jejunal (13.63%) types. Post-operative management was straightforward in 81.81% of cases, with 4 deaths (18.18%). Conclusion: Palliative bypass, due to the delay in consultation, allows remission of the signs of cholestasis, but does not change the natural course of the pathology. Mortality depends on the etiology. VL - 12 IS - 2 ER -
Medecine Department Pharmacy Odontology Dentistry, Faculty of Techncal Sciences Heath, University of Gamal Abdel Nasser of Conakry, Conakry, Guinea
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