Evaluating the Surgical Treatment of Mechanical Icterus in the General Surgery Department of the Hopital Ntional Ignace Deen, Chu De Conkry-Reference-Cited by-同舟云学术

Evaluating the Surgical Treatment of Mechanical Icterus in the General Surgery Department of the Hopital Ntional Ignace Deen, Chu De Conkry

Published:2024-04-28 Issue:2 Volume:12 Page:66-70
ISSN:2330-0930
Container-title:Journal of Surgery
language:en
Short-container-title:JS

Author:

Anatole Kamano¹,Yawo Kondano¹,Youssouf Camara¹,Bakary Traoré¹,Moise Loua¹,A. Barry¹,Emile Camara¹,Kéoulen Camara¹,Adama Konaté¹,Porédaka Diallo¹,Togba Soumaoro¹,Aboubacar Touré¹

Affiliation:

1. Medecine Department Pharmacy Odontology Dentistry, Faculty of Techncal Sciences Heath, University of Gamal Abdel Nasser of Conakry, Conakry, Guinea

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.

Publisher

Science Publishing Group

Link

https://article.sciencepublishinggroup.com/pdf/j.js.20241202.16

Reference13 articles.

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.