THE ASSESSMENT OF SERUM BILIRUBIN AND ALKALINE PHOSPHATASE VALUES IN PATIENTS WITH OBSTRUCTIVE JAUNDICE BEFORE AND AFTER SURGERY
N NURİ GÖNÜLLÜ, NİHAT Z UTKAN, CİHAN YILDIRIR, GÜRKAN ERSOY
Cumhuriyet Üniversitesi, Tıp Fakültesi Genel Cerrahi A.B.D./SİVAS
Regarding the assesment of patients with obstructive jaundice, the serum bilirubin (SB) and alkaline phosphatase (ALP) values are very useful. Depending on the type of illness during the preoperative period the SB and ALP values remarking a raise at different levels started to drop gradually and returned back to the normal values following the removal of the obstruction surgically.
In this study, we have calculated the decrease rate of the SB and ALP values at 40 patients with obstructive jaundice following the correction of the obstruction and investigated up to which extent these results could be the assesment criterias, concerning the preoperative course of the patients.
The SB values at the 5th day in almost half of the patients remarked a significant drop and it has been noticed that this drop is more precise in the cases of obstructions due to gallstone. As ALP levels remark a more rapid drop in the benign stricture during the first five days. It has been determined that this drop is irregular and more slow than SB levels. At the end regarding the postoperative assesment, it has been determined that the SB values can be more useful criterias compared to the ALP values.
Keywords: OBSTRUCTIVE JAUNDICE, SERUM BILIRUBIN, SERUM ALKALINE PHOSPHATASE