Cholecystectomy in English Children: Evidence of an Epidemic (1997–2012)

Khoo, Abigail Kate; Cartwright, Rufus; Berry, Simon; Davenport, Mark

doi:10.1016/j.jpedsurg.2013.11.053

Cited by 44 publications

(32 citation statements)

References 24 publications

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“…An idiopathic etiology of gallstone in the pediatric population has been proposed as between 20% and 65% [ 15 24 27 28 ], and certain predisposing factors have been suggested as follows: lithogenic interventions in neonatal period, such as long-term parenteral nutrition, a progressive increase in pediatric obesity, and recently, liberal use of ultrasonography [ 29 30 ]. In this study, we did not evaluate the gallbladder disease in neonatal cholestasis because most of those cases did not need a surgical management.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Cholecystectomy: Clinical Significance of Cases Unrelated to Hematologic Disorders

Kim

Cho

2015

Pediatr Gastroenterol Hepatol Nutr

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PurposeCholecystectomy is rarely performed in the child and adolescent. However, it is associated with several conditions. This study was conducted to describe the characteristics of pediatric patient who underwent cholecystectomy unrelated to hematologic disorders, and then to suggest its clinical significance in management by comparing a simple and complicated gallbladder disease.MethodsWe reviewed cases of cholecystectomy in pediatric patients (under 18 years old) at a single institution between January 2003 and October 2014. There were 143 cases during the study period and 24 were selected as the subject group.ResultsThere were 7 male (29.2%) and 17 female (70.8%) patients. The mean age was 13.1 years old, and 66.6% of patients were older than 12 years. Mean body weight was 52.7 kg, and body mass index was 21.7 kg/m2, with 41.7% of patients being overweight or obese. We could identify a female predominance and high proportion of overweight or obesity in a complicated disease. There were also significantly increased levels of aspartate transaminase (AST), alanine transaminase (ALT), alkaline phosphatase (ALP) and bilirubin in this group. Most patients (87.5%) underwent laparoscopic cholecystectomy.ConclusionCholecystectomy for diseases unrelated to hematologic disorders is rarely performed in the child and adolescent. In general, female patients who are overweight or obese, and those older than 12 years old, require laparoscopic cholecystectomy owing to multiple gallstones. This condition has a tendency to show a complicated gallbladder disease and significantly increased levels of AST, ALT, ALP, and bilirubin.

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Section: Discussionmentioning

confidence: 99%

Pediatric Cholecystectomy: Clinical Significance of Cases Unrelated to Hematologic Disorders

Kim

Cho

2015

Pediatr Gastroenterol Hepatol Nutr

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“…Khoo ve ark. (3) , 2808 çocukluk çağı kolesistektomisini değerlendirdikleri çalışmalarında, kolesistektomi sayısında 3 kat artış olduğunu bildirmişlerdir. Çalışmamızda, son beş yılda yapılan kolesistektomi sayısının, bir önceki beş yıla göre 2,5 kat artış göstermesi literatürü desteklemektedir.…”

Section: Discussionunclassified

“…Ancak, son yıllarda çocuklarda obezite ve parenteral beslenme (TPN) gibi safra kesesi taşı oluşumuna neden olan risk faktörlerinin artışı nedeniyle, tanı alan çocukluk çağı safra kesesi hastalıklarında belirgin artış bildirilmektedir (2) . Bu durum çocuk cerrahisi kliniklerine artan kolesistektomi sayılarıyla yansımıştır (3,4) . Minimal invaziv cerrahi yöntemlerin yaygın kullanımı ile birçok klinikte laparoskopik kolesistektomi standart yöntem olarak uygulanmaktadır (5) .…”

Section: Introductionunclassified

Changing risk factors and surgical outcomes of cholecystectomy in children through the years: our 10-year experience

Demirel¹,

Hancıoğlu²,

Yağız³

et al. 2020

TCDD

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“…Postoperative stay for patients undergoing only cholecystectomy or cholecystectomy with a concomitant procedure was median 1 (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19) day and 2 (1-19) days, respectively.…”

Section: The Most Common Indication For Cholecystectomy Was Uncom-mentioning

confidence: 99%

Few serious complications after cholecystectomy in paediatric patients

2019

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Cholecystectomy in English Children: Evidence of an Epidemic (1997–2012)

Cited by 44 publications

References 24 publications

Pediatric Cholecystectomy: Clinical Significance of Cases Unrelated to Hematologic Disorders

Pediatric Cholecystectomy: Clinical Significance of Cases Unrelated to Hematologic Disorders

Changing risk factors and surgical outcomes of cholecystectomy in children through the years: our 10-year experience

Few serious complications after cholecystectomy in paediatric patients

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