Biliary dyskinesia: The most common indication for cholecystectomy in children

Vegunta, Ravindra K.; Raso, M.; Pollock, Jon.; Misra, Sudipta; Wallace, Lizabeth J.; Torres, Adalberto; Pearl, Richard H.

doi:10.1016/j.surg.2005.06.052

Cited by 70 publications

(76 citation statements)

References 21 publications

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“…In some other cases, they are reported in association with clinical symptoms such as cholecystitis and cholangitis (9)(10)(11). Although hemolytic diseases are the most common causes of cholelithiasis in children, some other factors such as obesity, metabolic syndrome, prematurity, necrotizing enterocolitis (NEC), congenital heart diseases, cystic fibrosis, parenteral nutrition, use of certain medicines, and anatomic stenosis of bile ducts should be also considered.…”

Section: Contextmentioning

confidence: 99%

“…Generally, the incidence and prevalence of cholelithiasis are influenced by age, gender, genetics, race, and geographical factors (9)(10)(11)(12). Epidemiological studies have indicated the involvement of genetic factors in the formation of cholelithiasis.…”

Section: Epidemiological Reviewmentioning

confidence: 99%

“…Hemolytic causes appear mostly in one-to five-year-old children. On the other hand, cholelithiasis in adolescents is usually associated with obesity, pregnancy, and medication use (10,11,15).…”

Section: Epidemiological Reviewmentioning

confidence: 99%

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Cholelithiasis in Children: A Diagnostic and Therapeutic Approach

Kadı¹,

Kianifar²,

Karami³

2016

J Pediatr Rev

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Context: Although cholelithiasis is not a common condition in children, recent studies have documented an increasing incidence rate, owing to the development of diagnostic tools. The prevalence of cholelithiasis in children has been reported to be 0.13% -0.3%, whereas in obese children and adolescents, the prevalence rate has been estimated at 2% -6.1%. In this study, we aimed to review cholelithiasis in children. The gathered results could be useful in finding a suitable method and proper clinical practice for this complication.Evidence Acquisition: For literature review, international databases, including PubMed and Google Scholar, were searched, using keyword combinations, e.g., "cholelithiasis in children", "gallstone in children", and "childhood cholelithiasis", to review diagnostic and therapeutic approaches for cholelithiasis in children from 2006 to 2016. Also, some articles were retrieved through hand searching and reviewing the reference lists of papers, regardless of the date of publication. Abstracts, duplicates, and articles irrelevant to childhood cholelithiasis were excluded.Results: A total of 36 out of 93 articles were reviewed. The results showed that the prevalence of childhood cholelithiasis varies in different communities, with a global rate of 1.9%. Most cases of cholelithiasis in children were associated with underlying diseases. Hemolytic diseases, hereditary blood disorders, and cirrhosis were among the main causes of cholelithiasis in children. Cholelithiasis was detected incidentally or via diagnostic evaluations due to the presentation of symptoms. Conclusions:Although evaluation of the underlying causes of gallstone formation and appropriate diagnostic/therapeutic implications is still a challenging issue in the management of childhood cholelithiasis, in asymptomatic cases or those with gallstones of certain sizes, it is only recommended to monitor the disease or rule out the underlying causes. It should be noted that long periods of diagnostic and therapeutic approaches can impose stress and tension on families.

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Section: Contextmentioning

confidence: 99%

Section: Epidemiological Reviewmentioning

confidence: 99%

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Cholelithiasis in Children: A Diagnostic and Therapeutic Approach

Kadı¹,

Kianifar²,

Karami³

2016

J Pediatr Rev

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“…Epidemiological studies have elucidated the influence of the genetic factor in the development www.jmscr.igmpublication. [5] .…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Management of Cholelithiasis in Population of Rajasthan: A Clinical Study

Sarda¹

2018

jmscr

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“…Açık kolesistektomi (7) ile karşılaştırıldığında, hastanede kalış süresinin kısalığı, daha iyi estetik sonuçlar, ameliyat sonrası daha az ağrı ve ileus nedeniyle kısa sürede yaygınlaşmış ve kolesistektomilerin önemli bir bölümünde altın standart haline gelmiştir (8,9) . Pediyatrik popülasyonda artan obezite sıklığı, daha fazla sayıda çocuğun total parenteral nutrisyon almış olması, yaygın antibiyotik kullanımı, ultrasonografinin yaygın kullanımı gibi nedenlerle çocuk cerrahları son yıllarda özellikle kolelitiazis nedeniyle daha fazla kolesistektomi yapmaktadır (10) .…”

Section: Introductionunclassified