Patient's question:
My little one is now two and a half months old, born prematurely via cesarean section. When he was first born, he was given a drug to reduce jaundice at the hospital, but his jaundice wasn't severe at that time. Now, his skin is yellow, 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 that the liver and spleen were normal, with no dilation of the intrahepatic or 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 length of 15 mm, intact capsule, smooth surface, and uniform parenchymal echoes. The intrahepatic duct system was visible.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. 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, liver and kidney dysfunction, malnutrition, and other factors, 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, reduce unnecessary surgical trauma, lower postoperative complications, and play a pivotal role in selecting the optimal treatment strategy for obstructive jaundice.