Laparoscopic cholecystectomy for biliary dyskinesia in children: Frequency increasing

Lacher, Martin; Yannam, Govardhana Rao; Muensterer, Oliver J.; Aprahamian, Charles J.; Haricharan, Ramanath N.; Perger, Lena; Bartle, Donna; Talathi, Sonia; Beierle, Elizabeth A.; Anderson, Scott; Chen, Mike K.; Harmon, Carroll M.

doi:10.1016/j.jpedsurg.2012.08.036

Cited by 33 publications

(51 citation statements)

References 24 publications

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“…We were unable to identify a specific EF level on either HIDA scan or FUS that accurately discriminated between pediatric patients that did and did not report pain improvement after cholecystectomy. Our data on complete symptom resolution are consistent with previous literature, in which cholecystectomy for biliary dyskinesia results in complete resolution of symptoms for 44%e67% of pediatric patients on long-term follow-up [9,11]. Our study also demonstrated pain improvement in over 80% of patients suggesting that most patients have some benefit Table 1 e Demographics, preoperative characteristics, and postoperative outcomes of patients with biliary dyskinesia for the outcomes of pain improvement (first and second columns) and complete symptom resolution (third and fourth columns) on postoperative follow up within 60 d of cholecystectomy.…”

Section: Discussionsupporting

confidence: 92%

“…Existing studies have demonstrated symptom relief on short-term follow-up in patients undergoing cholecystectomy for biliary dyskinesia, but few studies have evaluated pain improvement or symptom relief on long-term follow-up [6,8,9]. Other studies have demonstrated inconsistent accuracy of cholecystokinin-stimulated hepatobiliary iminodiacetic acid (HIDA) scans in identifying patients who will have symptom improvement after cholecystectomy [8,9].…”

mentioning

confidence: 99%

“…Other studies have demonstrated inconsistent accuracy of cholecystokinin-stimulated hepatobiliary iminodiacetic acid (HIDA) scans in identifying patients who will have symptom improvement after cholecystectomy [8,9]. The purpose of this study was (1) to determine the preoperative characteristics associated with short-term and long-term symptom improvement in children who undergo cholecystectomy for biliary dyskinesia and (2) to evaluate the ability of the gallbladder ejection fraction (EF), as measured by cholecystokinin-stimulated HIDA scan or fatty meal ultrasound (FUS), to predict short-term and long-term pain improvement in these pediatric patients.…”

mentioning

confidence: 99%

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Prediction of symptom improvement in children with biliary dyskinesia

Mahida¹,

Sulkowski²,

Cooper³

et al. 2015

Journal of Surgical Research

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Section: Discussionsupporting

confidence: 92%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Prediction of symptom improvement in children with biliary dyskinesia

Mahida¹,

Sulkowski²,

Cooper³

et al. 2015

Journal of Surgical Research

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“…Some studies have reported that cholecystectomy relieved symptoms of biliary dyskinesia in 72%-100% of cases [25][26][27]. However, another study with a median follow-up of 2.8 years, reported that only 44.2% patients were relieved of symptoms completely after cholecystectomy [28].…”

Section: Discussionmentioning

confidence: 99%

Trend of Pediatric Cholecystectomy: Clinical Characteristics and Indications for Cholecystectomy

Han

Youn

et al. 2016

J Korean Assoc Pediatr Surg

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Purpose: Number of pediatric cholecystectomy has been recently showing a gradually increasing trend. The purpose of this study was to investigate the clinical features of patients who underwent pediatric cholecystectomy, and the latest trend in cholecystectomy. Methods: In the present study, we conducted a retrospective chart review on 47 patients who had undergone cholecystectomy at a single center. The entire patient population was divided into two groups, according to the time of cholecystectomy (early group, January 1999 to December 2006; late group, January 2007 to August 2014). Results:The comparison between the early and late groups showed that the number of cholecystectomy increased from 13 to 34 cases representing a 2.6-fold increase. The mean patient age also increased from 5.94±4.08 years to 10.51±5.57 years (p=0.01). Meanwhile, laparoscopic surgery also increased from 15.4% to 79.4%, respectively (p＜0.001). However, sex, mean body mass index, comorbidities, indications of cholecystectomy, and previous total parenteral nutrition were not statistically significant. Conclusion:The results of this study showed that pediatric cholecystectomy cases are increasing, particularly in the 10 to 19 years age group and laparoscopic cholecystectomies are also being performed at an increasing rate. When the patients were compared according to the time of cholecystectomy, there were no differences in other risk factors or indications for cholecystectomy.

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“…The optimal management of biliary dyskinesia is unclear; however, laparoscopic cholecystectomy has more frequently become the treatment of choice. In fact, Lacher et al [ 90 ] suggested that LC should be performed in all children with biliary dyskinesia and an EF <15 %. LC has up to a 95 % success rate in the treatment of biliary dyskinesia [ 91 ].…”

Section: Biliary Dyskinesiamentioning

confidence: 99%