Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
Patient Of NHL Surgery, Obstructive Jaundice. What Now? MRCP And ERCP After Surgery?
A 75 YEAR PATIENT OF NHL SURGERY IN NOV 2009 GIVEN RCHOP AND R BENDAMUSTIN 6 CYCLES EACH LAST THERAPY IN SEPT 10, NOW SLUDGE IN GB ABD CBD IS DILATED LFT VALUES ENLARGED BLOOD COUNTS EXCEPT ESR ALL ARE O.K.heamoglobin above ten obstructive jaundice to be treated with medicines or mrcp and ercp to be got done surgery of sub toal gastjunctomy in nov 2009
Mon, 5 Jun 2017
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.
If there is a stone in the common bile duct then this can be treated endoscopically with ERCP or by open surgery. It is always better to do ERCP which is less invasive, however, sometimes it may not be feasible and surgery is the only option. If this obstruction is caused by tumor then he should undergo surgery. Dilated bile duct means that there are serious issues and hyperbilirubinemia and treatment should be started as soon as possible to prevent serious consequences. It can be treated with medications, unfortunately.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Ivan R. Rommstein
I have reviewed your query and here is my advice.
If there is a stone in the common bile duct then this can be treated endoscopically with ERCP or by open surgery. It is always better to do ERCP which is less invasive, however, sometimes it may not be feasible and surgery is the only option. If this obstruction is caused by tumor then he should undergo surgery. Dilated bile duct means that there are serious issues and hyperbilirubinemia and treatment should be started as soon as possible to prevent serious consequences. It can be treated with medications, unfortunately.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Ivan R. Rommstein
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Jaundice
Loading Online Doctors....