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Mechanical jaundice of benign origin – medical approach

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dc.contributor.author Oloeri, Mihail
dc.date.accessioned 2020-07-16T11:26:05Z
dc.date.available 2020-07-16T11:26:05Z
dc.date.issued 2018
dc.identifier.citation OLOERI, Mihail. Mechanical jaundice of benign origin – medical approach. In: MedEspera: the 7th Internat. Medical Congress for Students and Young Doctors: abstract book. Chișinău: S. n., 2018, p. 136. en_US
dc.identifier.uri https://medespera.asr.md/wp-content/uploads/Abastract-Book-2018.pdf
dc.identifier.uri http://repository.usmf.md/handle/20.500.12710/11341
dc.description Department of General Surgery-Semiology no.3, Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova en_US
dc.description.abstract Introduction. The mechanical jaundice of benign origin (MJB) may be caused by a variety of affections: biliary lithiasis, benign strictures of bile ducts, gall bladder abnormalities, chronic pancreatitis, iatrogenic lesions, etc. The treatment of the cause that is at the origin of jaundice is the main objective. Aim of the study. Evaluation of the scientific bibliographic sources referred to mechanical jaundice of benign origin. Materials and methods. The study presents the magazine of literature (PubMed, School google, etc.) Results. The diverse etiology of MJB requires a systematic and complex investigation to establish the diagnosis. Contemporary diagnosis includes clinical assessment, oriented imagistic diagnosis and topical imagistic diagnosis, which assures identification of etiology, level and degree of biliary tree affection. The endoscopic retrograde cholangiopancreatography or percutaneous transhepatic cholangiography represents the gold standard in contemporary diagnosis. The magnetic-nuclear resonance cholangiography is an expensive but advantageous method. The hepatobiliary sequence scintigraphy provides information on hepatic function in the presence of jaundice and is useful for highlighting the biliodigestive communications. MJB treatment is a surgical emergency, and the rate of postoperative complications and lethality is quite high, that’s why it is required the preoperative decompression of biliary tree. Thus in the 1 stage, it is solved the jaundice and gallbladder infection by means of mini-invasive technologies, and in the 2 stage the intervention aiming at the disobstruction of the biliary tree and the prevention of relapses. In cholestatic lithiasis complicated with jaundice, the authors recommend sphincterotomy with litextraction and jaundice coupling, then in the stage 2 laparoscopic cholecystectomy. For benign strictures of the main biliary tract, iatrogenic lesions, are indicated the derivations on jejunal ansa excluded in Roux-en-Y. Conclusions. MJB diagnosis is complex and will include several consecutive stages. The surgical treatment resides in the etiopathogenesis of MJ and it is frequently anticipated by a mini-invasive method of biliary decompression. en_US
dc.language.iso en en_US
dc.publisher MedEspera en_US
dc.subject mechanical jaundice en_US
dc.subject choledocholithiasis en_US
dc.title Mechanical jaundice of benign origin – medical approach en_US
dc.type Article en_US


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  • MedEspera 2018
    The 7th International Medical Congress for Students and Young Doctors, May 3-5, 2018

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