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2012, Number 4

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Cir Gen 2012; 34 (4)

Prevalence and risk factors for cholelithiasis in patients under 18 years of age at a second level health care hospital

Arellano PC, Perea CR, De La Garza HC, Hernández NBI, Silos SCJ, Rosales MJ, Barba MJ, Tapia RJ, Patiño GP, Ponce de León GFC

Language: Spanish
References: 22
Page: 267-270
PDF size: 58.11 Kb.


ABSTRACT

Objective: To observe the prevalence of gallbladder lithiasis and risk factors in patients under 18 years in a second level health care hospital.
Setting: General Hospital of Matamoros “Dr. Alfredo Pumarejo Lafaurie”, Tamaulipas. Mexico.
Design: Retrospective, cross-sectional, descriptive, observational study.
Statistical analysis: Percentages as summary measure for qualitative variables.
Patients and methods: We reviewed 706 clinical files of patients with choledocholithiasis diagnosed between January 2003 and December 2008. Studied variables were: age below 18 years, sex, familial antecedents of gallbladder lithiasis, hemolytic diseases, use of hormones, pregnancies, body mass index, predominating symptom, length of in-hospital stay, and histopathological study of the gallbladder.
Results: We identified 26 cases with an average age of 12.8 years; all were women, 16 patients (61.5%) with antecedents of pregnancy. Only one patient had a normal weight, seven patients were overweight, eight patients coursed with obesity grade I, six with grade II, and four with grade III. All (100%) had antecedents of maternal gallbladder lithiasis.
Conclusion: Prevalence of choledocholithiasis in patients under 18 years of age was of 3.6%. Associated risk factors for patients below 18 years of age are similar to those encountered over 18 years of age.


REFERENCES

  1. McManus JE. The early history of surgery for common-duct stones; a brief review. N Engl J Med 1956; 254: 17-20.

  2. Beal JM. Historical perspective of gallstone disease. Surg Gynecol Obstet 1984; 158: 181-189.

  3. Ambriz-González G, Bañuelos CD, Gómez-Hermosillo L, Gutiérrez-Jiménez T, Balderas-Peña LMA, González-Ojeda A. Colecistectomía laparoscópica en edad pediátrica. Cir Ciruj 2007; 75: 275-179.

  4. Waldhausen JH, Benjamin DR. Cholecystectomy is becoming an increasingly common operation in children. Am J Surg 1999; 177: 364-367.

  5. Wesdorp I, Bosman D, de Graaff A, Aronson D, van der Blij F, Taminiau J. Clinical presentations and predisposing factors of cholelithiasis and sludge in children. J Pediatr Gastroenterol Nutr 2000; 31: 411-417.

  6. Klar A, Branski D, Akerman Y, Nadjari M, Berkun Y, Moise J, et al. Sludge ball, pseudolithiasis, cholelithiasis and choledocholithiasis from intrauterine life to 2 years: a 13-year follow-up. J Pediatr Gastroenterol Nutr 2005; 40: 477-480.

  7. Svensson J, Makin E. Gallstone disease in children. Semin Pediatr Surg 2012; 21: 255-265.

  8. Poffenberger CM, Gausche-Hill M, Ngai S, Myers A, Renslo R. Cholelithiasis and its complications in children and adolescents: update and case discussion. Pediatr Emerg Care 2012; 28: 68-76.

  9. Debray D, Franchi-Abella S, Irtan S, Girard M. Cholelithiasis in infants, children and adolescents. Presse Med 2012; 41: 466-473.

  10. Maurer KR, Everhart JE, Knowler WC, Shawker TH, Roth HP. Risk factors for gallstone disease in the Hispanic populations of the United States. Am J Epidemiol 1990; 131: 836-844.

  11. Ruibal-Francisco J, Aleo-Luján E, Álvarez-Mingote A, Piñeiro-Martínez E, Gómez-Casares R. Colelitiasis en la infancia. Análisis de 24 pacientes y revisión de 123 casos publicados en España. An Esp Pediatr 2001; 54: 120-125.

  12. Reif S, Sloven DG, Lebenthal E. Gallstones in children. Characterization by age, etiology, and outcome. Am J Dis Child 1991; 145: 105-108.

  13. Holcomb GW 3rd, Olsen DO, Sharp KW. Laparoscopic cholecystectomy in the pediatric patient. J Pediatr Surg 1991; 26: 1186-1190.

  14. Cervantes J, Rojas G, Álvarez-González R, Padilla L. Colecistectomía laparoscópica en pediatría. Informe de primer caso en la literatura nacional. Bol Med Hosp Infant Mex 1992; 49; 380-383.

  15. Azuara-Fernández H, Skinfield-Fernández FJ, Azuara-Gutiérrez H, Torres-Cisneros JR, Rojas-Pavo F, Ballesteros-Loyo HJ. Cirugía laparoscópica. Experiencia con los pacientes pediátricos operados. Bol Med Hosp Infant Mex 1993; 50; 39-43.

  16. Ortiz de la Peña RJ, Pardo GA, Contreras A, Tamez J, Cañas LM, Muñoz IJ. La técnica de la colecistectomía laparoscópica en pediatría. An Med Asoc Med Hosp ABC 1994; 39: 114-117.

  17. Nieto-Zermeño J, Bracho-Blanchet EJ, Ondorica-Flores RM, Tovilla-Mercado JM, Penchyna-Grub J, Dávila-Pérez R. Primera serie de colecistectomía laparoscópica pediátrica en México. Bol Med Hosp Infant Mex 1999; 56: 254-258.

  18. Méndez Sánchez N, Uribe Esquivel M, Jessurun Solomou J, Cervera-Ceballos E, Bosques Padilla F. Epidemiology of gallstone disease in Mexico. Rev Invest Clin 1990; 42: 48-52.

  19. Villanueva-Sánchez J, Ramírez-Moreno E. Factores asociados al sobrepeso en estudiantes de 8 a 18 años de áreas suburbanas, Hidalgo, México. Revista Salud Pública y Nutrición (RESPYN) 2004; 5(3). Disponible en: http://www.respyn.uanl.mx/v/3/articulos/factores.htm

  20. Kaechele V, Wabitsch M, Thiere D, Kessler AL, Haenle MM, Mayer H, et al. Prevalence of gallbladder stone disease in obese children and adolescents: influence of the degree of obesity, sex, and pubertal development. J Pediatr Gastroenterolo Nutr 2006; 42: 66-70.

  21. Toscano E, Trivellinji V, Andria G. Cholelithiasis in Down’s syndrome. Arch D is Child 2001; 85: 242-243.

  22. Harris P, Chateau B, Miquel JF, Zavala A, Montes P, Herrera JM, et al. Cholelithiasis in children: a clinical and morphological study. Rev Med Chil 2003; 131: 37-45.




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