[Cholelithiasis in children: a clinical and morphological study]. / Litiasis biliar en niños: un estudio clínico-morfológico.
Rev Med Chil
; 131(1): 37-45, 2003 Jan.
Article
en Es
| MEDLINE
| ID: mdl-12643217
BACKGROUND: The use of ultrasonography increased the frequency of diagnosis of cholelithiasis in childhood. AIM: To determine the clinical and laboratory features and follow up of children with biliary stones. PATIENTS AND METHODS: Twenty six children (13 male, aged 1 month to 14 years) were prospectively enrolled. RESULTS: Nine children had a past medical history of factors potentially predisposing to stones. A clinical presentation with vomiting (50%), abdominal pain (46%) and jaundice (23%) was the most common indication for surgery. The diagnosis was based on abdominal ultrasound in all children. Cholecystectomy was performed in 15 children (laparoscopy in 13 and open surgery in 2). Children who underwent surgery were older than those who did not undergo surgery (p < 0.001), but they did not have differences in liver function tests. Eight children had pigmented stones and seven had cholesterol stones. CONCLUSIONS: In our patients, neither family history nor laboratory tests were useful in the diagnosis as well as in the clinical decision of surgery, which was based on symptoms. The presence of cholesterol stones in a high proportion of these children may be a unique situation in Chile, considering the high prevalence of this disease in the adult population.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Colelitiasis
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Child
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Child, preschool
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Female
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Humans
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Infant
/
Male
Idioma:
Es
Revista:
Rev Med Chil
Año:
2003
Tipo del documento:
Article
País de afiliación:
Chile
Pais de publicación:
Chile