PREVALENCE OF CHOLESTATIC JAUNDICE IN CHILDREN â?? A STUDY IN HOSPITALISED CHILDREN

Abstract

K. Satyakumari1, R. Sujatha Devi2, K. Srinivasa Rao3

INTRODUCTION
A study conducted in 58 cases of children who were admitted and evaluated over a period of 2 years October 2013 to November 2015 to find out the prevalence of cholestatic jaundice in children. This study conducted in KGH, AMC, Visakhapatnam.
OBSERVATION
Out of the total cases studied (58) 12 cases were Biliary atresia (20.68%) and 24 cases were hepatitis (41.37%). The various sub groups of hepatitis were hepatitis ‘A’ ‘B’, other infections 14(24.13%), neonatal hepatitis 5(8.62%), Malarial hepatopathy 2(3.44%), enteric fever 3(5.17%). Sickle hepatopathy 3(5.17%), IHBA 1(1.72%), hypothyroidism 6(10.34%), Down syndrome 3(5.17%), Gall stone disease 6(10.34%), Drug induced 3(5.17%). Out of 58 cases 0-3 months’ age were 28(48.27%), females outnumbered males in many conditions especially in gallstones and drug induced cholestatic jaundice.
AIMS
To study the incidence and etiological causes cholestatic Jaundice in pediatric patients between the age group 0 to 12 years during the period November 2013 to November 2015.
MATERIAL AND METHODS
The present study was conducted in the department of paediatrics, Andhra Medical College, Visakhapatnam between January 2013 to November 2015. During this period 25 cases of Cholestatic Jaundice were taken up for study. Cases from both the sexes ranging from birth to 12 years were included in the present study.
CONCLUSION
The study utilisation of the newly developed "AIIMS clinical scoring index" to differentiate the two main groups of cholestatic disorders, i.e., Biliary atresia and hepatitis and compared the score with the scan patterns of HIDA scan patterns. Finally the present study was analysed and the results compared with the results of other similar studies reported in literature.

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