Patient's question:
My little one is now two and a half months old, born prematurely via Caesarean section. When he was first born, he was given a drug to reduce jaundice in the hospital, but his jaundice wasn't severe at that time. Now his skin is jaundiced, and his sclera is also yellow. It has been about 15 days since we first noticed the jaundice. We have visited pediatricians in both the county and city hospitals and had two ultrasound scans. The ultrasounds showed normal liver and spleen, no dilation of the intrahepatic and extrahepatic bile ducts, but the gallbladder was not detected. The doctors suggested a follow-up examination, so we went to the Children's Hospital in Zhengzhou on November 17th and had another color Doppler ultrasound. The color Doppler ultrasound showed: normal position, shape, and size of the liver, with a subcostal span of 15mm, intact capsule, smooth surface, uniform parenchymal echo, and visualization of the intrahepatic duct system.Doctor's answer:
For early obstructive jaundice, surgical treatment is currently one of the most important therapeutic approaches. The surgery primarily involves resection of the lesion, removal of concomitant stones, and biliary diversion, among others. However, malignant obstructive jaundice is often discovered at an advanced stage, and the surgical trauma is significant. Patients with moderate-to-severe obstructive jaundice are often elderly, with tumor infiltration, hypoproteinemia, impaired liver and kidney function, and malnutrition, making postoperative complications and mortality rates highly concerning.Currently, interventional methods are first employed to alleviate obstructive jaundice, improve overall condition, and further assess tumor staging. This helps determine the feasibility of surgical resection, reduces unnecessary surgical trauma, minimizes postoperative complications, and plays a pivotal role in selecting the optimal treatment strategy for obstructive jaundice.