Laparoscopic cholecystectomy in children with sickle cell disease

Al-Mulhim, Abdulrahman S.; Abdulatif, Magdy; Ali, Aiman

doi:10.4103/1319-3767.29753

Cited by 10 publications

(9 citation statements)

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“…This result was less than what was reported in Saudi Arabia, in which the percentage of chronic hemolytic disease was 83.3%. [16] But it is consistent with the results of Wesdorp's et al study in which hemolysis accounted for almost 60%. [5] Another study in Canada (2010) [17] in which chronic hemolytic diseases accounted for 44% only.…”

Section: Discussionsupporting

confidence: 90%

“…In the present study more than half of patients (59.3%) had sickle cell disease, which is prevalent disease in Basrah city, this is less than what was reported in study of Saudi Arabia. [16] In the present study (60%) of children who were aged 5 years and below had sickle cell disease, and the percentage of the children with gallstones who had sickle cell disease increased with increasing age. This percentage is more than what was reported by Wesdorp and Schweizer studies, which was ranged from 20% to 30% of patients.…”

Section: Discussionsupporting

confidence: 40%

“…[5] Another study in Canada (2010) [17] in which chronic hemolytic diseases accounted for 44% only. In the current study, about one third of patients (32.2%) were with no obvious risk factors for gallstones (idiopathic gallstones), while in Saudi Arabia, [16] and Amsterdam, [5] the idiopathic gallstones in children were reported to be (6.9% and 23% respectively). Patients who were suffering from gallstones without having specific risk factor were reported in many studies done in Italy, Canada, and India, those patients represented about 52.5%,52% and 77.3% respectively.…”

Section: Discussionmentioning

confidence: 42%

“…[4,9,10] From the total patients 40.7% were treated by laparoscopic cholecystectomy, with mean duration of stay in hospital 3.1 days, this duration was less that shown by another study in Saudi Arabia in which the mean duration was 5.9 days. [16] Laparoscopic cholecystectomy is confirmed to be a safe treatment for pediatric cholelithiasis. [19] It has advantages of being less invasive with lower morbidity and mortality and shorter hospital stay over conventional open cholecystectomy.…”

Section: Discussionmentioning

confidence: 99%

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Cholelithiasis in children 16 years and below in Basrah: Epidemiological and Clinical study

Hassan¹,

Al-Asadi²,

Alhasani³

2015

MJBU

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Background: Although compared with adults, cholelithiasis)or gallstone disease(is unusual in infants, and in children but it is certainly not rare. Gallstones currently are being recognized in children with increased frequency therefore, it should be studied more carefully in our locality as it represents a significant health problem. Method: This is a retrospective hospital based study of children with gall stones aged 16 years and below who were admitted to the surgical wards of five major hospitals in Basrah city, during the period from first of January 2007 to 30 th June 2012. Then children were studied for demographic criteria, past history, clinical presentation, hospitalization, and the treatment approach. Results: The total number of the study population included in this study was 95children, the mean age of them was 11.7± 3.6 years (Range: 9 months-16 years) and the male to female ratio was (1:1.4). The majority of the patients 46 patients (78%) were symptomatic at the time of diagnosis, while only 13 patients (22%) were asymptomatic, and the reported symptoms were: abdominal pain, fever, nausea, vomiting, and jaundice. Sickle cell disease (SCD), Thalassemia major and hereditary Spherocytosis were three major types of hemolytic disease that predisposed children to gallstones. Conclusions: Sickle cell disease was the major predisposing factor and responsible for 59.3% of gall stone in this study, while Thalassemia and hereditary Spherocytosis were reported less frequently (6.8% and 1.7% respectively). No reported risk factor was seen in 32.2%. Surgery was performed for most of the patients; types of surgical approach were either open cholecystectomy (with or without splenectomy) or laparoscopic cholecystectomy.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 40%

Section: Discussionmentioning

confidence: 42%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Cholelithiasis in children 16 years and below in Basrah: Epidemiological and Clinical study

Hassan¹,

Al-Asadi²,

Alhasani³

2015

MJBU

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“…Cholelithiasis is a well-known complication in pediatric patients with hemolytic anaemias like sickle cell disease, hereditary spherocytosis etc. The prevalence rate of gall stones in sickle cell disease ranges from 30 to 70% which increases progressively with age and is usually not seen before the age of five [13]. The prevalence of pigment gallstones in sickle cell disease is around 10% in children under 10 years of age, which increases to 40% in those aged 10-18 years, and 50% in adults [14][15][16].…”

Section: Hemolysismentioning

confidence: 99%

Gall Stones in Pediatric Population

Mirza¹

2022

Gallstones - Review and Recent Progress

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Gall stones is a known entity in adults, but are considered uncommon in pediatric population, however in the recent years, mainly with wide spread use of ultrasonography, cholelithiasis in children is being frequently reported. Etiology of gall stones in children is not similar to adults. Pigment stones are the most frequently seen in children with hemolytic disease as the most common cause, however with the increase in obesity in children there is also rise in cholesterol stones. Many other causes like drugs, congenital hepatobiliary malformation and genetic causes are to be kept during evaluation of gall stones. Management of gall stones need a proper and timely work up for the causes of cholelithiasis is necessary in children. Surgical management with laparoscopic cholecystectomy is the treatment of choice in most of the cases however the timing of surgery should be optimized case to case basis.

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Laparoscopic cholecystectomy for gallbladder torsion in a 3‐year‐old child

Uemura

Maeda

Obatake

et al. 2021

Acute Medicine & Surgery

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Background: Gallbladder torsion is a congenital abnormality of the gallbladder and is a rare cause of acute abdomen. Although gallbladder torsion is a life-threatening condition requiring emergency surgery, laparoscopic cholecystectomy for gallbladder torsion in pediatric patients has seldom been reported.Case presentation: A 3-year-old boy with abdominal pain and vomiting was admitted to our hospital. He was diagnosed with acute cholecystitis through abdominal ultrasound and computed tomography, and he received antibiotics. Two days after admission, a repeat abdominal ultrasound revealed exacerbation of gallbladder wall thickness and lack of intramural blood flow, which led to a diagnosis of gallbladder torsion. Emergency laparoscopic cholecystectomy was performed, and the gallbladder was twisted counterclockwise at 270°. After an uneventful course of intraoperative and postoperative treatment, the patient was discharged on postoperative day 6. Conclusion:Laparoscopic cholecystectomy for gallbladder torsion was safely performed in a pediatric patient.

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Laparoscopic cholecystectomy in children with sickle cell disease

Abstract: This study showed that elective laparoscopic cholecystectomy by an experienced surgeon and taking necessary precautions are the safety measures to be recommended at the time of diagnosis of cholelithiasis in sickle cell disease children.

Cited by 10 publications

References 0 publications

Cholelithiasis in children 16 years and below in Basrah: Epidemiological and Clinical study

Cholelithiasis in children 16 years and below in Basrah: Epidemiological and Clinical study

Gall Stones in Pediatric Population

Laparoscopic cholecystectomy for gallbladder torsion in a 3‐year‐old child

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