Cholecystectomy for suspected biliary dyskinesia in children with chronic abdominal pain

Gollin, Gerald; Raschbaum, George R.; Moorthy, Chetan; Santos, Luis Humberto Ribas dos

doi:10.1016/s0022-3468(99)90387-1

Cited by 45 publications

(63 citation statements)

References 13 publications

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“…However, clinical response to cholecystectomy is less than desirable in a significant percentage of these children. 1,2 In an attempt to identify children with biliary dyskinesia that will have a successful outcome from cholecystectomy, many investigators suggest there are no independent predictors of sustained resolution of pain. 3 The purpose of this report is to obtain an accurate assessment of clinical response to cholecystectomy and to identify clinical and radiographic predictors of successful outcome after operation for biliary dyskinesia.…”

mentioning

confidence: 99%

Predictors of successful outcome after cholecystectomy for biliary dyskinesia

Carney

Kokoska

Grosfeld

et al. 2004

Journal of Pediatric Surgery

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mentioning

confidence: 99%

Predictors of successful outcome after cholecystectomy for biliary dyskinesia

Carney

Kokoska

Grosfeld

et al. 2004

Journal of Pediatric Surgery

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“…Although this was not true in our series, these children may increasingly form the bulk of the laparoscopic cholecystectomy workload, with some centres already reporting biliary dyskinesia in up to 58% of their cases [31]. Cholecystectomy is successful in curing symptoms in 79 to 100% of the cases [29][30][31], especially in those patients complaining of nausea, pain and decreased gallbladder emptying preoperatively [32]. The population with continuing symptoms may be part of a subset with sphincter of Oddi dysfunction and which is therefore unrelieved by cholecystectomy.…”

Section: Discussionmentioning

confidence: 69%

“…The aetiology is thought to be aberrant contractile behaviour either at the sphincter of Oddi, the cystic duct, or the gall bladder [29]. If an impaired gall bladder ejection fraction (less than 40%) is seen on cholecystokinin hydroxyl iminodiacetic acid (CCK-HIDA) scintigraphy, removal of the gall bladder is warranted [30]. Although this was not true in our series, these children may increasingly form the bulk of the laparoscopic cholecystectomy workload, with some centres already reporting biliary dyskinesia in up to 58% of their cases [31].…”

Section: Discussionmentioning

confidence: 99%

Paediatric cholecystectomy: Shifting goalposts in the laparoscopic era

et al. 2007

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The advent of laparoscopy has resulted in an expansion of the traditional indications for cholecystectomy. MRCP is a useful investigation in selected children to exclude choledocholithiasis and avoid intraoperative cholangiography. There appears to be no clear correlation between histology and presenting symptoms. The natural history of asymptomatic gallstones in children is not known although a consensus is emerging to support cholecystectomy for all calcific non-resolving gallstones.

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“…However, biliary dyskinesia is controversial in pediatric patients. Some studies have reported that cholecystectomy relieved symptoms of biliary dyskinesia in 72%-100% of cases [25][26][27]. However, another study with a median follow-up of 2.8 years, reported that only 44.2% patients were relieved of symptoms completely after cholecystectomy [28].…”

Section: Discussionmentioning

confidence: 99%

Trend of Pediatric Cholecystectomy: Clinical Characteristics and Indications for Cholecystectomy

Han

Youn

et al. 2016

J Korean Assoc Pediatr Surg

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Purpose: Number of pediatric cholecystectomy has been recently showing a gradually increasing trend. The purpose of this study was to investigate the clinical features of patients who underwent pediatric cholecystectomy, and the latest trend in cholecystectomy. Methods: In the present study, we conducted a retrospective chart review on 47 patients who had undergone cholecystectomy at a single center. The entire patient population was divided into two groups, according to the time of cholecystectomy (early group, January 1999 to December 2006; late group, January 2007 to August 2014). Results:The comparison between the early and late groups showed that the number of cholecystectomy increased from 13 to 34 cases representing a 2.6-fold increase. The mean patient age also increased from 5.94±4.08 years to 10.51±5.57 years (p=0.01). Meanwhile, laparoscopic surgery also increased from 15.4% to 79.4%, respectively (p＜0.001). However, sex, mean body mass index, comorbidities, indications of cholecystectomy, and previous total parenteral nutrition were not statistically significant. Conclusion:The results of this study showed that pediatric cholecystectomy cases are increasing, particularly in the 10 to 19 years age group and laparoscopic cholecystectomies are also being performed at an increasing rate. When the patients were compared according to the time of cholecystectomy, there were no differences in other risk factors or indications for cholecystectomy.

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Cholecystectomy for suspected biliary dyskinesia in children with chronic abdominal pain

Cited by 45 publications

References 13 publications

Predictors of successful outcome after cholecystectomy for biliary dyskinesia

Predictors of successful outcome after cholecystectomy for biliary dyskinesia

Paediatric cholecystectomy: Shifting goalposts in the laparoscopic era

Trend of Pediatric Cholecystectomy: Clinical Characteristics and Indications for Cholecystectomy

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