Patient's question:
Jaundice has lasted for 8 or 9 years, total bilirubin: 87~; indirect bilirubin: 17~. It has always been undiagnosed! I have taken many kinds of medicine, but they have had little effect, which has caused great depression on my body and mind. I hope someone can help me! Thank you!Doctor's answer:
Jaundice is primarily classified into obstructive and hepatocellular types. This patient has significantly elevated total bilirubin levels without a corresponding increase in transaminases, which is clinically referred to as "high." The likelihood of obstruction is estimated to be high. Obstruction can be further divided into stone obstruction and tumor obstruction, and based on ERCP analysis, the former is more likely. If endoscopic stone removal is difficult, consultation with a hepatobiliary surgery specialist may be necessary. Admitting to the infectious diseases department is not particularly meaningful.