Ultrasonography Versus Endoscope Retrograde Cholangio–Pancratography in Diagnosing Obstructive Jaundice

Amin Elzaki; Hamid Osman; Ahmed Abdelrahim; Ala Abdelgyoum; Elrashied Abdelrahim; Saad Alzaharani

Volume : IV, Issue : V, May - 2014

Ultrasonography Versus Endoscope Retrograde Cholangio–Pancratography in Diagnosing Obstructive Jaundice

Amin Elzaki, Hamid Osman, Ahmed Abdelrahim, Ala Abdelgyoum, Elrashied Abdelrahim, Saad Alzaharani

Abstract :

 Jaundice (icterus) is a yellow discoloration of the skin, mucous memanes, and the whites of the eyes caused by increased amounts of bilirubin in the blood. Jaundice is considered a sign of an underlying disease process. Jaundice is detectable clinically when the serum bilirubin is greater than 50μmol/L (3mg/dL). Aims: the objectives were to assess the accuracy of ultrasound U/S and Endoscope Retrograde Cholangio–Pancratography ERCP , to diagnose site and cause of biliary obstruction. Methodology: Prospective, analytical, study deal with the Comparison between U/S and ERCP to diagnose obstructive jaundice. The study was performed by abdominal U/S and ERCP for thirty patients with signs and symptoms of obstructive jaundice. Results: The study found that obstructive jaundice was the most common in elderly ages especially over 65 years. Females were forming (53.3%) VS (46.7%) males. Abdominal U/S of showed that (77.7%) of the patients had dilated common bile duct CBD but ERCP showed (76.7%). Abdominal U/S showed that (50%) of the patients had stone in CBD and (20%) carcinoma head of pancreas while ERCP showed (36.7%) of the patients with stone and (23.3%) had carcinoma head of pancreas. Accuracy of ERCP in diagnosing obstructive jaundice was (80%) while U/S accuracy was (70%). Conclusion :U/S examinations should be done before ERCP. ERCP procedure is needed for treatment only, however good sterilization and safety considerations must be achieved to avoid the complications.