Coimbatore: Doctors in private hospitals in Mettupalayam diagnose a 30-year-old woman with fruste type anomalies – a condition where the bile duct must be replaced to avoid further medical complications.
Rare surgery that will cost more than RS 3- 4 lakh in advanced medical facilities, the doctor at SGK Hospital Mettupalayam performs a long operation for 7 hours with limited resources and a quarter of the cost.
This condition is detected between one in the Lakh person that can only be detected by MRCP scanning whether non-invasive Mri is used to visualize the bile duct and pancreatic tract.
The liver took out the bile carried out through the bile duct and the pancreas issued pancreatic juice that passed the pancreation.
The bile duct is intended for fat digestion while pancreatic juice digests protein.
“They both joined through a common channel in the pancreas and flow into the intestine for digestion of food.
But the pancreatic juice, which is a strong enzyme, should not return to the bile duct, but such conditions are called ‘pancreatico abnormal – malunion biliary,” said Dr.
D Vijayagiri, a pediatric surgeon from the SGK Hospital.
This happens when the pancreas canal is open.
A little higher to the bile ducts because the general channels are a little longer.
This is an abnormality that damages the interior wall of the bile duct.
In this case, the patient suffers from a frustre choledochal anomaly where the bile duct is damaged and the gallbladder is blocked.
This will cause repetitive fever, his stomach repeated pain, intermittent yellow disease with decreased food intake.
In addition, it is a premalignant condition where if it is not operated at the initial stage it can become a cholangiocarcinoma in time.
“Removing the bile duct and creating a bypass channel under the heart to drain the guarantee is the treatment of intestinal bypass, called Roux En Y bypass,” said Dr.
Kannan, head of anesthesia from the hospital.
The doctor said that it was a premaligned condition where if it was not operated at the initial stage it could become a cancer lesion.