Surgical management of diseases of the gallbladder and common duct in children and adolescents

Kirtley, James A.; Holcomb, George

doi:10.1016/0002-9610(66)90340-0

Cited by 38 publications

(4 citation statements)

References 6 publications

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“…Fif,;. teen per cent of their 50 patients had a mistaken diagnosis of appendicitis (6). In Moossa's series, the duration of symptoms was from 6 months to 7 years before a correct diagnosis was established (8).…”

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confidence: 97%

Cholelithiasis in Children

Harned¹,

Babbitt²

1975

Radiology

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confidence: 97%

Cholelithiasis in Children

Harned¹,

Babbitt²

1975

Radiology

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“…Internal drainage of the cyst into the intestinal tract has been considered appropriate, and choledochocystoduodenostomy (Fonkalsrud and Boles, 1965;Kirtley and Holcomb, 1966;Duckett et al, 1971) and choledochocystojejunostomy (Warren et al, 1968;Hays et al, 1969;Mahour and Lynn, 1969) have been widely used. Excision of the cyst and anastomosis of the remaining biliary tree to the intestinal tract has been advocated as the treatment of choice by several authors (Ishida et al, 1970;Kasai et al, 1970;Jones et al, 1971).…”

Section: Discussionmentioning

confidence: 99%

Choledochal cyst in infancy and childhood. Analysis of 16 cases.

Kobayashi¹,

Ohbe²

1977

Archives of Disease in Childhood

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Onset of symptoms occurred from 7 days of age to 9 5 years; in 10 patients onset occurred under 12 months of age, in 3 from 13 to 24 months, and in the remaining 3 from 2 to 9*5 years. The first symptoms were jaundice, vomiting, acholic stools, and poor sucking. Obstructive jaundice and acholic stools were found in more than 80 % of the patients, and abdominal mass in 60 %. Vomiting occurred in 50% of the patients, one-third of whom showed failure to thrive, and 70% of patients over the age of 1 -5 years had abdominal pain. About half of the patients had a mild to moderate degree of fever.In all patients primary excision of the cyst was followed by hepaticojejunostomy in Roux-en-Y fashion. The postoperative course was uneventful in 14 patients; 2 patients died, one from ascending cholangitis and one from hepatic failure.

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“…Although it is classically the "fair, fertile, fat female of forty" who develops gall stones, this is not so in children. Soderlund and Zetterstrom (1962) reported a ratio of 57 girls to 3 boys, ariU the children are said to have been plump; in Morales (1967) 40 cases there was a female predominance of 3 : 1, and Kirtley and Holcomb (1966) reported 48 females to 2 males.…”

Section: Aetiologymentioning

confidence: 99%

“…They advocated careful examination of the cystic duct which, they suggested, might be the site of stenosis in other cases of gall bladder diseases in childhood. Kirtley and Holcomb (1966) reported that in 2 of their 4 cases of non-calculous cholecystitis there was obstruction of the cystic duct. On the other hand, in most series, including 2 large ones by Soderlund Zetterstrom (1962), and 40 cases by Morales (1967), this aetiological factor was not identified.…”

Section: Aetiologymentioning

confidence: 99%