Jaundice surgery: Difference between revisions
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==Surgery== | ==Surgery== | ||
Surgery is not the first-line treatment option for patients with jaundice. Surgery is usually reserved for patients with either: | Surgery is not the first-line treatment option for patients with jaundice. Surgery is usually reserved for patients with either: | ||
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*[[Cirrhosis]] | |||
*[[Cholestasis]] | |||
*[[Liver transplantation]] | |||
===Transjugular intrahepatic portosystemic shunting=== | ===Transjugular intrahepatic portosystemic shunting=== | ||
*[[Transjugular intrahepatic portosystemic shunt|Transjugular intrahepatic portosystemic shunting (TIPS)]] is bypassing the high flow rate of [[portal vein]] into the [[Systemic vein|systemic veins]]. | *[[Transjugular intrahepatic portosystemic shunt|Transjugular intrahepatic portosystemic shunting (TIPS)]] is bypassing the high flow rate of [[portal vein]] into the [[Systemic vein|systemic veins]]. | ||
Revision as of 19:32, 5 February 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Eiman Ghaffarpasand, M.D. [2]
Overview
Surgery is not the first-line treatment option for patients with jaundice. Surgery is usually reserved for patients with either cirrhosis, cholestasis, and liver failure. The surgical procedures which are used to treat jaundice include transjugular intrahepatic portosystemic shunting (TIPS), cholecystectomy, and liver transplantation.
Surgery
Surgery is not the first-line treatment option for patients with jaundice. Surgery is usually reserved for patients with either:
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Transjugular intrahepatic portosystemic shunting
- Transjugular intrahepatic portosystemic shunting (TIPS) is bypassing the high flow rate of portal vein into the systemic veins.
- TIPS would decrease the pressure over the portal system and a decreased risk of complications, such as:[1]
Cholecystectomy
- Cholecystectomy is mostly done through laparoscopic route, to treat cholestasis.
- During cholecystectomy, gallbladder along with contained stones are excised.
- The reason of cholestasis include:[2]
- Cholecystectomy indications include:[3]
- Cholecystitis (Acute/Chronic)
- Symptomatic cholelithiasis
- Biliary dyskinesia
- Acalculous cholecystitis
- Gallstone pancreatitis
- Gallbladder masses/polyps
- Cholecystectomy contraindications include:[3]
- Inability to tolerate pneumoperitoneum or general anesthesia
- Uncorrectable coagulopathy
- Metastatic disease
Liver transplantation
- Liver transplantation is indicated in case of liver failure.
- Liver failure may be happened due to any diseases, such as cirrhosis or chronic portal hypertension.[4]
References
- ↑ Lahat E, Lim C, Bhangui P, Fuentes L, Osseis M, Moussallem T, Salloum C, Azoulay D (2017). "Transjugular intrahepatic portosystemic shunt as a bridge to non-hepatic surgery in cirrhotic patients with severe portal hypertension: a systematic review". HPB (Oxford). doi:10.1016/j.hpb.2017.09.006. PMID 29110990.
- ↑ Nagral S (2005). "Anatomy relevant to cholecystectomy". J Minim Access Surg. 1 (2): 53–8. doi:10.4103/0972-9941.16527. PMC 3004105. PMID 21206646.
- ↑ 3.0 3.1 "Gallbladder, Cholecystectomy, Laparoscopic - StatPearls - NCBI Bookshelf".
- ↑ Starzl TE, Van Thiel D, Tzakis AG, Iwatsuki S, Todo S, Marsh JW; et al. (1988). "Orthotopic liver transplantation for alcoholic cirrhosis". JAMA. 260 (17): 2542–4. PMC 3091380. PMID 3050180.