ERCP with Metallic CBD Stenting for Malignant Obstructive Jaundice at GMH, Wai

Advancing Therapeutic Endoscopy in Rural Maharashtra

Understanding Malignant Obstructive Jaundice

Obstructive jaundice occurs when bile flow is blocked, commonly due to malignancy in the pancreas or bile duct. In non-operable pancreatic cancer, ERCP with metallic CBD stenting is a crucial palliative procedure that relieves jaundice, improves liver function, and enhances quality of life. Patient Presentation

A HCV-positive female patient presented to Geetanjali Multispeciality Hospital, Wai with:

• Abdominal pain

• Loose stools

• Yellowish discoloration of eyes (icterus)
  

Clinical Findings

• Severely deranged liver function tests

• Markedly elevated ALP levels

• Positive Hepatitis C Virus (HCV) status
  

Diagnostic Evaluation

A CT scan of the abdomen revealed:

• Neoplastic lesion involving the head and uncinate process of pancreas

• Metastatic deposits in liver and regional lymph nodes

• Dilated Common Bile Duct (CBD)

• Ascites

• Associated acute appendicitis
  

Given the advanced metastatic disease, the case was deemed non-operable. The appendicitis was managed conservatively. Treatment Plan: Palliative ERCP with Metallic CBD Stenting

To relieve biliary obstruction and jaundice, the patient was planned for ERCP with Metallic CBD Stenting as a palliative intervention.