Vialat SV, Olivera PRC, Vázquez ME, López DVC

Language: Spanish
References: 28
Page: 21-30
PDF size: 125.59 Kb.

ABSTRACT

Introduction: till a few years ago, biliary lithiasis in childhood was considered as an uncommon disease mainly linked to hemolytic illnesses. With the advent of the abdominal ultrasound, the diagnosis and findings of this disease became more frequent. The clinical spectrum is very broad and ranges from asymptomatic cases to acute cholecystitis.
Objective: to characterize clinically and surgically the pediatric patients with gallbladder lithiasis operated on at the university pediatric hospital of Centro Habana.
Methods: prospective, retrospective, longitudinal and descriptive study of 182 patients diagnosed with biliary lithiasis. They had been operated on at the surgical service of this hospital from June 2003 through June 2013.
Results: biliary lithiasis was more frequently observed in girls (52.7 %) and in the 11-15 years-old group. The main risk factors were overweight (28 %) and obesity (21.4 %). The predominant clinical form was recurrent abdominal pain in the right hypochondrium (69.7 %). The abdominal ultrasound mostly showed single calculi (54.9 %). Video-assisted laparoscopy was the access way of choice (98.9 %). The incidence of complications was minimal (0.5 %) and the common anatomical and pathological finding was chronic lithiasic cholecystitis (89.6 %). The length of stay at hospital was short, with 92.9 %. There was not a single death.
Conclusions: it is considered that biliary lithiasis is not a rare entity in pediatrics, mainly in overweighed girl; the most common form of presentation is recurrent abdominal pain and the laparoscopic access offers the best results.

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