Use of laparoscopic cholecystectomy for biliary dyskinesia in the child

Pathologic changes in biliary dyskinesia

“…Laparoscopic cholecystectomy in the pediatric population is considered a durable and effective treatment of BD as well [6], with 71% to 100% of patients reporting relief of symptoms postoperatively [2][3][6][7][8][9][10][11][12][13][14]. Because of the wide variability of reports in the literature regarding the efficacy of laparoscopic cholecystectomy in patients with BD, the purpose of our study was to identify preoperative factors that would predict symptomatic resolution in children.…”

Prediction of symptom improvement in children with biliary dyskinesia

“…Existing literature supports several different EF cutoffs to diagnose biliary dyskinesia [4,9,12,17,19,20]. In children, HIDA scans have only been reported to be predictive of symptom relief in patients with very low EFs [8,9,16,21,22]. Our study also investigated the ability of FUS to diagnose biliary dyskinesia.…”

Biliary Dyspepsia: Functional Gallbladder and Sphincter of Oddi Disorders

“…Large scale case series now list biliary dyskinesia as the primary indication for cholecystectomy in 10-20% of adults [17,[19][20][21][22] and 10-50% of pediatric patients [23][24][25][26].…”