Pr, Rr & C Pru ur J O - D 0; 4 : 8-7 R Py B JPRCP 0;, 4 9 yy, r rg j r vv g vv v r r ru ur uug 9 [ - g rv D 3] rrv r, r ur gy, ur ggrv r rv u rry u r

Jur Pru Rr & C Pr, O-D 0; 4 : 8-7 R r A r G Br Cr: P Cur/ Lg Tr Cr Fg Py Hr I rv: A C Suy P Vr, M B,, *B Py R I r Iu Hr M IIHM, Ggr, Luk 600, U P, I Sg Uvry, Pr Br, jujuu- 33355, Rj, I A BSTRACT G r r GBC ry gy Uruy, r v ur g r r v r y Curry, r r ry r GBC r v Hr u r gr r rr rg u r ur, gy rv urvv vu T y- r g W r, Ou gru, Ou u, Prrrz kurr, Tru vu vu r g r r T r ru gr r ru r urvv r 6666%, r u vr r u yr, ry uggg g r u ry r rv ry r gr r Tu, rgur g r r y r ru g g u u vu u- r rg u r v u/ y r y g rv rr r x u y T ug rg u y rg u r ru r, rgr urvv, rv r ur Kyr: Gr r, u gru, u u, rrrz kurr, r u vu, r Rv 8 O 0 R v rv r 06 Nv 0 A 08 Nv 0 * Aur r Crr D r B R Py Prr, I r Iu Hr M /30, Vjyk I I, Ggr, Luk - 600, U P, I E- : rry@g, k@g _ I NTRODUCTION Gr r GBC rr gy [, ] y r g GBC uuy ux r rvy M v rg ur r v v g T jry GBC r g r x ru - yy r ry [3] Oy 05-3 % g v G BC, 0 % GBC v [, 4-6] T y GBC r y rx, u r vg [7] Hvr, ry vv GBC r y T g rg GBC ur g g Pr rg g ry r v y g GBC r ry r x r gr r [8] T jry r r r uy u ry, ur uur, g r ur ur r L uy u quu, g rg quu Aug r z r r v urg r r gr r, u rr yy, vr r, u g B R Py, JPRCP 0; 4 8

Pr, Rr & C Pru ur J O - D 0; 4 : 8-7 R Py B JPRCP 0;, 4 9 yy, r rg j r vv g vv v r r ru ur uug 9 [ - g rv D 3] rrv r, r ur gy, ur ggrv r rv u rry u r g r gr T r gr gy x rz I k u ur r k r x, vr vru xur, vr, r g g ugy y kg r r yurv u, I uz juuy r gr r g r u rg rr r g ur rv y Org vu urvv r - / r u g - ury vg rr u y gr vr Tr g r, vu u uy rg y r g r r uy, r I r y r Tu r, W Ag Ou Prrrz Kuk u, Tru Gr W kurr u vu u x u v r - W rr ru r r k WS r k v g g / - u r, - ury, - g g, - x gu,, - rk, - rg, u - ur/, WS u yr y urg v r gr r rv r k r, ug r, k r r, r r, k r, r r rr, r, r Ou 5] [4, r, r r y OS u r rv r r k r r k v g r k, r g r r, v x r yr, g r, vr g - r u, - rv vy, g r/ NIDDM - u - u g r u, yr, gu, ury r g r r r, vy uru, yr g Tru [6] vy rv rg Gr W vu u v gy ur r,, ry, u u zy v rv r rgg uqu ur u rr urv kurr Prrrz [7] r ug u Kuk rrv u 8], [ - [0] vr [9], ury T rr [] g/r u - r ru r u r r vu uy rr u rg y W Ag r y Iu, r : Fru IIHM Tu V + gru Ou Tu r K u Ou Kuk + Gr W kurr Prrrz g r Tru vu ru T r r r r uy rr r r ATERIALS AND METHODS M u r u C r y vru r 3r uuy r, gr ug 4 rrg r g Hr Iu Ir M T r r IIHM ru v r g v u r v r, urgry r Sx rry ry rgy y g r g r r r r uy r u g k T r r r rr r g, u rg

J ur Pru Rr & C Pr, O - D 0; 4 : 8-7 x, rg y, ru vr u g, u ru, CT g g g C r yz xr u T r IIHM r gv r r Ag W r, u u g 400 g y, Iuy 75 g V T u Ou gru, 5 5 g + Kr Tu Ou u, 55 g+ K uk P rrrz kurr, 6 5 g y, g r rg gr r W gr 35 0 g y u r r r ur T r r u r r u x Fr r, k v, C x T M r u, F T M 5 g r u y g RB T T M u / r ur y A rgur u r rr u T r ug g r g x gv r T uy Ir I u Hr M IIHM, L uk rr u ur urv uy r E C Iu uy rv y E C Iu E rv r uy y k gru r u r R ESULTS T r ug g rg x r r r r r r r r rv r gv r T r ru uy gg I, Sx g ru r y gr r u uy r urz T T A v r T u x g r gr r ur r r r 4: T g rgg 35 76 yr g 58 yr A r T, rg y v 833 %, r u vg 50 % ur g 666 % T r 50 % r u urg r ju, rv v r u ERCP E Rrgr Cgrgry ry rv O 66 % u B R Py, JPRCP 0; 4 0

J ur Pru Rr & C Pr, O - D 0; 4 : 8-7 A v r T 3, ru k uru r g x 00 %, 66% g g/, ru SGOT SGPT v r g v 833 % Uru g u g r 333 %, u v gr vr ry u v gr ruv vr gy Tr r ur 666 %, - gy r v gr r B R Py, JPRCP 0; 4

J ur Pru Rr & C Pr, O - D 0; 4 : 8-7 A v r T 5, v ru k, uru, ru SGOT SGPT r u rg rr ry rg rv vr gr r T v g ur C ASE WISE DESCRIPTION: C A 7 yr r gr g y g x Ir Iu Hr M IIHM 5070 T r yr ry rg ur T y r r y r j kr ur T vg, vr, r r, ur r r gr g, ry y r g Lrry u r - g g r gv T 3 Mr g r yy gr urg 7 g B R Py, JPRCP 0; 4

Jur Pru Rr & C Pr, O-D 0; 4 : 8-7 vr g urg 5x4x S u g LN r r g ur r rr ur rr y T ur rr y r H rry LN 0/3 r rv LN 0/ r r ur T g r ry r r rg u ruur v u rug y y /: M r, rr y /4: M Cr T gv r r Ag W r, u u g 400 g y, Iuy 75 g V Tu Ou gru, 55 g + Kr Tu Ou u, 55 g+ K ukprrrz kurr, 65 g u y, g r rg gr r Wgr 350 g u y u r r r ur T r r u r r v g rv r g x Fr r, k Nurk T M V B r u y T u v r g r rvry T u u g r r r rug r rv r r rr T 5 C A 76 yr, - gy g r g r ry vr, IIHM 500 T yr ry, vg g Pr- g g r gv T 3 A uru g u ruv vr gy u v T gv r r A g W r, u u g 400 g y, Lvr Ky r u 35 g: Buk Pyu rur, 5 g + Purv Brv u, 00 g + K uk Prrrz kurr, 00 g u y, g r rg gr r Wgr 350 g u y u r r r ur T r r u r r v g rv r g x T u v r g r rvry T u u g r r r rug r rv r r rr T 5 C 3 A 58 yr, gy g r g r, IIHM 300 ry g r, g I rv r, r y rv gr u urrg vry rquy Hg y ru g r urg u 7x3 Cu u r k Mr g u u vg r vr y r Tur rg u v Surrug r y ggrg x yr Urgry r r r x gy, rv gr r T gv r r Ag W r, u u g 400 g y, Iuy 75 g V Tu Ou B R Py, JPRCP 0; 4 3

Jur Pru Rr & C Pr, O-D 0; 4 : 8-7 g ru, 55 g + Kr Tu Ou u, 55 g+ Kuk Prrrz kurr, 65 g u y, g r rg gr r W gr 350 g u y u r r r ur T r r u r r v g rv r g x Fr r, k v, x M r u g RB T M T u / r ur r u y T u v r g r rvry T u u g r r r rug r rv r r rr T 5 C 4 A 35 yr - gy g gr r IIHM 0700 ry, g u vg H g y g v rg y r v r r Urgry g rv r gr T gv r r Ag W r, u u g 400 g y, I uy 75 g : V Tu Ou g ru, 55 g + Kr Tu Ou u, 55 g+ KukPrrrz kurr, 65 g, Lvr Ky r u 35 g : Buk Pyu rur, 5 g + Purv Brv u, 00 g+ Kuk Prrrz k urr, 00 g u y, g r rg gr r Wgr 350 g u y u r r r ur T r r u r r g rv r g x F r r, r r, C T M 600 g y gv T u v r g r rvry T u u g r r r rug r rv r r rr T 5 C 5 A 40 yr, - gy g rv g r r, ry, vr rx, vg IIHM 03070 T gv r r Ag W r, u u g 400 g y, Iuy 75 g: V Tu Ou gru, 55 g + Kr Tu Ou u, 55 g+ K uk Prrrz kurr, 65 g u y, g r rg gr r Wgr 350 g u y u r r r ur Fr y k, vg, CT M 600 g y Z 50 g y C V C 500 g y r u r y T urvv r 0090 C 6 A 68 yr, - gy g rv - quu gr r, ry vr rx vg IIHM 09 05 00 Cry v By rr B R Py, JPRCP 0; 4 4

Pr, Rr & C Pru ur J O - D 0; 4 : 8-7 R Py B JPRCP 0;, 4 5 r - quu Mx N, T3, III g r, r g Urgry v r, r g z y T gr X3 46 T vury g y ug y uu r j vg T r gv r W Ag u r u g 400 g y g 300 u, Ou,, y u gr rg r g g 350 Wgr r y u r r r u ur urvv T 04060 r r v A T 5 r, SGPT, SGOT, v r gru P Ak Buru, T rv gr Fur r urgg r r rv y u r r r urvv r urvv 666% 6 ISCUSSION D GBC r Gr ry Uruy, gy v g r ur r g r Curry, y r v GBC r ry r r v r urvv M rg r r u -, 4 urvv yr Hr 5% [5] < r u rr r r g u rg r gy ur urvv rv r y Our vu rg v y W Ag vz r u, Ou Tu r, gr W kurr, Prrrz Kuk vu, Tru rv r Ty g r xr v r vv vr r W u v Ag CHO Ovry Hr C I [] r g vy rvg ur u ug u ur rr R [3] A r - [4 vy - Tu 8] u z r yr quu u r 3 - yyz u Tu T [9] r ru u xr v vu ru g r u k v v Tu 3] [30, xy rg u zy g u g -S- S rr u xr Tu [3] r urvv gr gv ru g ky uggg rry u 34] [33, u gr, W r, rgy ru rr r rg [7] u urg g u r W r g ur u E urv y vu IIHM C r ur rg r v ru u W rv vu u v r y r r r g u x u g ur, r r r r g urvv rg r % 6666 r u r vr u yr r r g rgur Tu, g ru r y g u u u vu - r u/ v ur rg y - y r g rr rv y u x r ug T y u rg r u rg ru rgr, r rv urvv, r ur

Jur Pru Rr & C Pr, O-D 0; 4 : 8-7 C ONCLUSION T r u u ur rg y r ru u r g r r ru rrk vr g 6666% urvv r ugg r ru u y ry r rv ry r g r r S g r r gy r r urvv vu, uy gr g rv r g r r Aug g r r v v, uy rg z y gr r g uu r g r u ur y r ru rv r R EFERENCES Hrk RE Jr, Lr FJ, Hg PR, C I J r Prry r gr A Surg 98; 95: 70-73 Pr JM, Cr RW Prry r g r Surg Gy O 978; 47:99-94 3 Gurg S, Kr HM, S I, Yr A, T E, S NS Gr Cr A J Surg 008; 96:5-64 4 C A, Brr M, Sk G, M E, M u F, Mr E Prv G r y Rv M C 99; 9:887-890 5 Mr S, Curv A, Mr NC, Sr ID C r gr L O 003; 4:67-76 6 R KM, R- D M A, Du J H Dg urg g g r : rv J Gr Surg 007; :67-68 7 Tr CB, Ngry DM, Du JH S urg r gr r J Gr Surg 004; 8: 83-89 8 Du JH, Sr AK, Mk HR T Cr D B Rr Cr Gr- 989-995 Cr 998; 83:68-68 9 K S, Nur Y, Hyk N, Ky J, N g M, Uk K Exv urgry r r 89:79 84 gr Br J Surg 00; 0 K S, Nur Y, Ky J, Ng M, K M, Uk K, Yu N, S T, Hyk N Fv yr urvvr r ggrv urgry r g IV gr r J Hry Pr Surg 00; 8 :5 57 Tuk K, Hky K, Kurk I, U K, Sr Y, Mu T, Y K O u r urgry r r gr rg TNM g S urgry 996; 0:86 8 Br A, Skr SS, Wgkr GD, Kur A, Sx R, Kr VK Lg- r urvv r x r g r r J A C Surg 003; 96: 8 88 3 Kurk T, N T, Nk A, Oku N, H r A, Tkg H T r x r rur v gr r Hgrrgy 999; 46: 56 566 4 Sg N, Vr P, Py BR, G M R W r Prv Tr Cr: A Ovrv I r Jur Pru S Drug Rr 0; 34: 74-79 5 Sg N, B M, Jgr PD, G M A O vrv Ag: A Ry Rjuvr Ayurv Ar J Tr C Ar M 0; 8S:08-3 6 Sg N, Py BR, Vr P, B M T ru P Ou u Prv Tr Cr E xur R: A Ovrv Ir J ur Pru S Drug Rr 0; 4: 97-04 7 Sg N, Vr P, Py BR Tru P Org Tru vu L W Gr Prv Tr Cr D: A Ovrv Ir Jur Pru S Drug Rr 0; 4 :0-4 8 Curv GN, Sg RH Ju u r gu rug, rrz kurr J R I M 966; :- 3 9 Py BL, D PK I urg u P rrrz kurr Ry Ex A A r & A Iu 988; : 3 0 Sg N, Mr N, Sg SP, Gu ML A xr vu - v r Prrz kurr kuk g ug Bu M E B R 98 B R Py, JPRCP 0; 4 6

Jur Pru Rr & C Pr, O-D 0; 4 : 8-7 Lgr JG, Gu OP, A CK C r Prrz kurr I J Pr 98; 3: 98-03 Sur VN, Bu S, Mur D D r gr ry W r r CHO Pyr R 007; :- 4 3 S g N, Sg SP, N R, Sg DR, Gu M L, K RP, Brgv KP Prv ur u Lug y r L Du I J Cru Rr 986; 4:90-00 4 Kuru S, Kur R, Srv S, Evr M B, Dr C, 00 "N- y Wr- A: A ru rg g rg" Mur Cr Tr u00; 9: 0 0 5 Tr J T, Br L, G T, K E, P P, Lu Y, Tgur M, Vr P M Wr A r r v u- yx y ug v y r 56 ry I r Jur Cr 0; 9 : 744 755 6 K ur P, S P, S BP Wr A ur xr vur gr r Er ur v S rr r Curr Tr Bgy P ry 009; 3 : 38 48 7 M R, Hr HJ, Brgg- M P, Z XH, Hr r CJ, Ruz A, Zg L, H AD, Cr BP, Rug J, Pru V S Wr A r gg 5 Agg 004; 7 : 8 Mug V, Surju G V, R CV, S vrkr C, D D L, H D, S ug B, A ggr B B Ty HS, Nr MG " W ux r Ag r ur rr r- k- B, yxyg ur rr" Pyry Rr 009; 3 7: 987 99 9 Aru K, Svrkr VM A rg I ru F C Tx 99; 30:953-956 30 Prr R, Kur A, Brj S, R AR C rv y xr r Ou u u k g k gu S- rr vy u uyry v Ar Drug 994; 55:567-57 3 Krky K, Rvr P, Gvy S Crvv Ou u DMBA- u r u u rg Or O 999; 35:- 9 3 A ru K, Svrkr VM P ru rv g g r I J Ex B 990; 8:008-0 33 Dv PU, B KS, V MA Crv uy rr y Ou v y rr u Br J R 998; 7847:78-784 34 U Dv P, Gur A, R BS, S rv KK I vv rr y O u v: urvv R R 999; 5:74-78 B R Py, JPRCP 0; 4 7