Jauntice

    
      Re: Re: Re: Jauntice
    


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Posted by HFHSM.D.-rf on January 24, 1999 at 22:06:36:

In Reply to: Re: Re: Jauntice posted by Grace on January 19, 1999 at 07:14:10:

: There is a tumor resting on a major vein and causing the backup of bile.  The bleeding situation has been resolved.  He had his stomach cortorized on 1-13-99.  My question now is how dangerous is a backup of bile?  Also, my father is going today 1-19-99 to have a shunt inserted to drain the bile.  Are there any other options if they cannot get to the area they need to because of the tumor?  Thank you.
  : :     -  What can be done about the blockage?
  : :     -  How serious is the bile back up?  
  : :     -  How long can a person have a blockage like that?
  : : Thanking you.
  : _____
  : Dear Grace,
  : The important questions to be answered are 1) Why is thew bile duct blocked and 2) Why did he bleed and is there a connection with the blocked bile ducts/
  : Blockage of the bile ducts can result from gall stones, chronic pancreatitis or tumors.  It is necessary to do an ERCP(endoscopic study) or PTC (radiologic study) to determine the site and cause of obstruction as well as to treat (decompress) the duct.  Prognosis is dependent on the cause of obstruction.
  : Internal bleeding is often not associated with bile duct blockage unless there is a history of large amounts of alcohol used.  The effects of the bleed should resolve quickly after the transfusions.  It is necessary to again know the cause of the bleeding and therefore an upper endoscopy is needed.
  : This information is presented for educational purposes only.  Ask specific questions to your personal physician.
  : HFHSM.D.-rf
  : *keywords: jaundice, bleeding
  : 0.2
_______
Dear Grace,
teh tumor resting on the major vein may contribute to the bleeding but may not be the cause for the jaundice.  Obstruction of the bile duct is causing the jaundice.  The immediate danger of a blocked bile duct is infection of the bile (cholangitis0 a serious condition.  Other possible problems relate to fluid and electrolyte imbalances due to the ovstructed duct.  Decompression of the bile duct by stent placement ( either via an endoscope or by radiology) is the procedure of choice.  Surgery may be indicated for long term care but decisions regarding an operation require complete knowledge of your father's condition.
This information is presented for educational purposes only.  Ask specific questions to your personal physician.
HFHSM.D.-rf
*keywords: jaundice
0.1