Name
BILE DUCT STRICTURES
DESCRIPTION
DETAIL
CAUSES : 1. BENIGN STRICTURES - IATROGENIC (OPERATIVE TRAUMA - 80% ) - PACREATITIS - PRIMARY SCLEROSING CHOLANGITIS - HIV CHOLANGIOPATHY - ORTHOTOPIC LIVER TRANSPLANTATION - MIRIZZI SYNDROME - RADIATION - BLUNT ABDOMINAL TRAUMA - POLYARTERITIS NODOSA & SLE - TUBERCULOSIS - HISTOPLASMOSIS - CHEMOTHERAPEUTIC DRUGS - SPHINCTER OF ODDI DYSFUNCTION OR PAPILLARY STENOSIS - CHOLEDOCHAL CYST - RECURRENT PYOGENIC CHOLANGITIS - INFLAMMATORY STRICTURES - ENDOSCOPY RELATED STRICTURES - IDIOPATHIC - MISCELLANEOUS LIKE IN DUODENAL DIVERTICULUM, CROHN DISEASE, HEPATIC ARTRY ANEURYSM, CYSTIC FIBROSIS, EOSINOPHILIC CHOLECYSTITIS, CHOLANGITIS 2. MALIGNANT CAUSES - PACREATIC MALIGNANCY - MUCINOUS CYSTADENOCARCINOMA - AMPULLARY CARCINOMA - GALL BLADDER CARCINOMA - CHOLANGIOCARCINOMA - HEPATOCELLULAR CARCINOMA - LYMPHOMA & METASTATIC CANCERS TO LIVER 7 NODES IN PORTA HEPATIS -------------------------------------------------------------------------- D.D. : - DRUG INDUCED CHOLESTASIS - PRIMARY SCLEROSING CHOLANGITIS - PRIMARY BILIARY CIRRHOSIS - AUTOIMMUNE CHOLANGIOPATHY - CHOLESTASIS ASSOCIATED WITH PARENTERAL NUTRITION - CHOLESTASIS ASSOCIATED WITH SEPSIS - POSTOPERATIVE JAUNDICE * LFT - ABNORMAL, ALK PHOSPHATASE & GAMMA GLUTAMYL TRANSPEPTIDASE & 5- NUCLEOTIDASE ARE MUCH HIGHER * PROTHROMBN TIME - ELEVATED * SERUM BILIRUBIN > 20 MG / ML SUGGESTIVE OF MALIGNANCY * TUMOR MARKER - MAY BE HELPFUL IN DIAGNOSING PRIMARY * DIAGNOSIS IS ESTABLISHED BY PERCUTANEOUS OR ENDOSCOPIC CHOLANGIOGRAPHY
TYPENOTES
RELATED DISEASE
Not Available Disease
DISEASE
INVESTIGATION
PROTHROMBIN TIME, SERUM ALKALINE PHOSPHATASE, ULTRA SOUND WHOLE ABDOMEN - FEMALE, GAMMA GLUTAMYL TRANSFERASE ( GGTP / GGT ) - FEMALE, COMPLETE BLOOD COUNT, ERCP, CT SCAN ABDOMEN, LIVER FUNCTION TEST