Management of Polypoid Gallbladder Lesions in Children: A Multicenter Study

Ballouhey, Quentin; Binet, Aurélien; Varlet, François; Baudry, Manon; Dubois, R.; Hery, G.; Podevin, Guillaume; Abbo, Olivier; Arnaud, Alexis; Barras, Marc; Guérin, François; Reinberg, Olivier; Piolat, C.; Fourcade, Laurent

doi:10.1055/s-0037-1604114

Cited by 5 publications

(6 citation statements)

References 20 publications

(35 reference statements)

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“…In the current study, 80% of the patients were girls. In a report of 18 child GP patients by Ballouhey et al (12), 13 (72.2%) were girls at similar rates to those of the current study. In addition, female frequency of adult patients with GP in studies by Terziog ˘lu et al (18) and Guo et al (29) have been reported as 67.3% and 56.3%, respectively.…”

Section: Discussionsupporting

confidence: 88%

“…In the current study, there was no case of cholelithiasis and any associated cholecystitis. Ballouhey et al (12) found 2 (11%) patients with pseudopolyp and the lesions regressed in follow‐ups. In our study, no pseudopolyp was detected in any patient.…”

Section: Discussionmentioning

confidence: 99%

“…Terzi et al (30) reported right upper quadrant pain, dyspepsia, and jaundice symptoms in 91% of 74 patients who underwent cholecystectomy because of GP. Ballouhey et al (12) found that 50% of the patients were symptomatic in a study of 18 children with GPs. In the current study, 15 (79%) patients were diagnosed with GP on USG applied because of abdominal pain (without biliary symptoms) and 4 (21%) patients were diagnosed incidentally.…”

Section: Discussionmentioning

confidence: 99%

“…In the reports available in literature only 43 pediatric cases have been reported (12–16,20–28). In the current study, 80% of the patients were girls.…”

Section: Discussionmentioning

confidence: 99%

“…Cholecystectomy is the treatment approach for any GP that is felt to be symptomatic, or in patients with 1 or more risk factors, and GPs other than these characteristics are good candidates for conservative follow-up (7,(9)(10)(11). Unlike adults, GPs are rarely reported in children (12)(13)(14)(15)(16). Therefore, there is little information on diagnostic follow-up and treatment approaches for children with GP (15).…”

Section: What Is Newmentioning

confidence: 99%

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Gallbladder Polyps

Demirbaş¹,

Çaltepe²,

Comba³

et al. 2019

J. pediatr. gastroenterol. nutr.

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Objective: Unlike adults, gallbladder polyps (GPs) are rare in childhood. The aim of this study was to evaluate patients with a GP diagnosis. Methods: Patients who were diagnosed with GP via ultrasonography from October 2012 to October 2017 were retrospectively evaluated in terms of sociodemographic characteristics and laboratory findings. Results: The study included 19 patients diagnosed with GP and followed up in our department. The patients comprised 14 (73.6%) girls with a mean age of 13.9 ± 4.1 years and a mean follow-up period of 10.2 ± 5.4 months (range, 3–26 months). The most common presenting symptom of the patients (n = 15, 78.9%) for ultrasonography was abdominal pain without biliary symptoms. Location of the polyps was in the corpus in 55% of patients, and either in the fundus (20%) or the neck of the gallbladder (25%). The average diameter of the polyps was 4.5 ± 1.6 mm (range, 2–9 mm). Multiple polyps were observed in 3 patients. No significant change in the number or size of polyps was noted at the end of the follow-up periods. Cholecystectomy was applied to 1 patient who had >5 polyps with a rapid increase in size, and the pathology report was hamartomatous polyp. There was no remarkable change in the clinical or laboratory findings of other patients during the follow-up period. Conclusion: In this study, GPs could be seen in young children as young as 16 months of age and ultrasonography is sufficient for follow-up in stable and asymptomatic patients.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…In the reports available in literature only 43 pediatric cases have been reported (12–16,20–28). In the current study, 80% of the patients were girls.…”

Section: Discussionmentioning

confidence: 99%