THE ETIOLOGICAL SPECTRUM OF OBSTRUCTIVE JAUNDICE IN MARDAN MEDICAL COMPLEX

Objective: To evaluate the causes of obstructive jaundice in our set-up.Study Design: Prospective Cross-sectional study.Setting and Duration: Surgical Department, Mardan Medical Complex, from April 2016 to March 2018Methodology: Using a non-probability sampling approach, 54 cases were enrolled. Individuals having a clinicaldiagnosis of obstructive jaundice, regardless of age or gender, were progressively recruited in the research. Every instancehad a comprehensive investigation, and the reason for each was found. The study’s bias and confounders were managedby closely adhering to the exclusion criteria. Data were gathered using a standardized proforma, and SPSS version23 was used for analysis.Results: In the aforementioned investigation, a total of 54 individuals with obstructive jaundice were seen. Thepatients’ ages ranged from 28 to 70 years old, with a mean age of 51.63 ± 10.54 years. 37% of people were menand 63% were women. In 27 (50%), 21 (38.9%), and 6 (11.1%) of the patients, choledocholithiasis and biliarystrictures were the causes of obstructive jaundice. Malignant reasons were more prevalent in those over 50, whereasbenign causes were more common in those under 50.Conclusion: In our configuration, choledocholithiasis and common bile duct strictures were the most prevalent malignant and benign causes of obstructive jaundice.Keywords: Obstructive jaundice, Choledocholithiasis, Carcinoma head of pancreas.