Trends of Cholecystectomies for Presumed Biliary Dyskinesia in Children in the United States

Matta, Sravan; Kovacic, Katja; Ke, Yan; Simpson, Pippa; Sood, Manu R.

doi:10.1097/mpg.0000000000001777

Cited by 7 publications

(5 citation statements)

References 14 publications

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“…Pogorelić et al [9] have shown a significant growth in pediatric cholecystectomies over the last twenty years. As demonstrated by the authors and confirmed by several other studies, this growth is attributable to the increase in the prevalence of childhood obesity [10][11][12], showing a correlation between weight increment and the presence of symptomatic cholelithiasis. LC is the gold standard technique for gallbladder diseases in both emergency and elective surgery [13] and also in pediatric surgery, showing short post-operative LOS with low complication rates [1].…”

Section: Introductionsupporting

confidence: 77%

Lean Six Sigma Approach to Improve the Management of Patients Undergoing Laparoscopic Cholecystectomy

Scala,

Improta

2024

Healthcare

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Laparoscopic cholecystectomy (LC) is the gold standard technique for gallbladder diseases in both emergency and elective surgery. The incidence of the disease related to an increasingly elderly population coupled with the efficacy and safety of LC treatment resulted in an increase in the frequency of interventions without an increase in surgical mortality. For these reasons, managers implement strategies by which to standardize the process of patients undergoing LC. Specifically, the goal is to ensure, in accordance with the guidelines of the Italian Ministry of Health, a reduction in post-operative length of stay (LOS). In this study, a Lean Six Sigma (LSS) methodological approach was implemented to identify and subsequently investigate, through statistical analysis, the effect that corrective actions have had on the post-operative hospitalization for LC interventions performed in a University Hospital. The analysis of the process, which involved a sample of 478 patients, with an approach guided by the Define, Measure, Analyze, Improve, and Control (DMAIC) cycle, made it possible to reduce the post-operative LOS from an average of 6.67 to 4.44 days. The most significant reduction was obtained for the 60–69 age group, for whom the probability of using LC is higher than for younger people. The LSS offers a methodological rigor that has allowed us, as already known, to make significant improvements to the process, standardizing the result by limiting the variability and obtaining a total reduction of post-operative LOS of 67%.

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Section: Introductionsupporting

confidence: 77%

Lean Six Sigma Approach to Improve the Management of Patients Undergoing Laparoscopic Cholecystectomy

Scala,

Improta

2024

Healthcare

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“…Current trends suggest that the prevalence of biliary tract disease is increasing based on the increasing number of cholecystectomies performed (10)(11)(12). The prevalence of cholelithiasis in healthy children, determined by abdominal ultrasound, is estimated to be 1.9%, whereas the prevalence of biliary dyskinesia in children is unknown (13).…”

Section: Discussionmentioning

confidence: 99%

“…Risk factors commonly associated with biliary tract disease in children include older age, female sex, Hispanic ethnicity, obesity, and a positive family history (13,15,(17)(18)(19). A female predominance of cholelithiasis and biliary dyskinesia has been identified in adolescence in most, but not all studies (9)(10)(11)(13)(14)(15)(19)(20)(21). In 1 report, 55% of patients were overweight, obese, or severely obese (15).…”

Section: Discussionmentioning

confidence: 99%

Biliary Tract Disease in Girls and Young Women With Rett Syndrome

Motil

Lane

Barrish³

et al. 2019

J. pediatr. gastroenterol. nutr.

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Objective: We reviewed medical records and conducted a nationwide survey to characterize the clinical features and determine the prevalence of biliary tract disease in girls and women with Rett syndrome (RTT). Methods: Sixty-two individuals with RTT and biliary tract disease were identified from the membership of Rett Syndrome Organization (RS.O) and patient files of the principal investigator. Medical records of 46 individuals were reviewed for presenting features, diagnostic tests, and treatment outcomes of biliary tract disease. We designed a questionnaire that probed the frequency of risk factors and treatment outcomes of biliary tract disease in RTT. The questionnaire was completed by 271 parents whose daughters met the clinical criteria for RTT and/or had MECP2 mutations and participated in the Natural History of Rett Syndrome Study. Results: Presenting symptoms identified by record review included abdominal pain (94%), irritability (88%), weight loss (64%), and vomiting (52%). Biliary dyskinesia, cholecystitis, and cholelithiasis, were identified in 90%, 77%, and 70%, respectively, by cholescintigraphy, surgical pathology, and abdominal ultrasound. The prevalence of biliary tract disease was 4.4% (n=12) in the RTT cohort. Risk factors included older age (p<0.001) and a positive family history (p<0.01).

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“…Se identificaron un total de 66.380 colecistectomías como diagnóstico de procedimiento primario utilizando un análisis ponderado de 2002 a 2011 en niños. (Matta et al, 2018) La colecistectomía laparoscópica es segura y eficaz en la resolución de los síntomas de la discinesia biliar en niños. En un estudio hecho por Lai et al, se realizó colecistectomía laparoscópica en 215 niños con discinesia biliar, se obtuvo como resultado que el dolor mejoró en 162/181 (89,5%).…”

Section: Patologias De La Vesícula Biliarunclassified

Revisión bibliográfica: abordaje quirúrgico de las patologías de la vesícula biliar en niños

Daniel¹,

Valencia²,

Gavilanes³

et al. 2023

Braz. J. Hea. Rev.

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Los trastornos de la vesícula biliar en la población pediátrica han cambiado en las últimas tres décadas. Si bien antes se atribuían en gran medida a enfermedades hemolíticas, hoy en día se conoce que el aumento del sobrepeso y la obesidad son la principal causa de estos. El número de colecistectomías en niños ha incrementado debido a un mejor conocimiento de la patología de la vesícula biliar como causa de dolor abdominal, el uso rutinario de la ecografía en la evaluación del dolor abdominal y el aumento de la indecencia de las patologías biliares. En este artículo se analizará las patologías de la vesícula biliar: Discinesia biliar, colelitiasis, pólipos de la vesícula y el abordaje quirúrgico en pacientes pediátricos.

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Trends of Cholecystectomies for Presumed Biliary Dyskinesia in Children in the United States

Cited by 7 publications

References 14 publications

Lean Six Sigma Approach to Improve the Management of Patients Undergoing Laparoscopic Cholecystectomy

Lean Six Sigma Approach to Improve the Management of Patients Undergoing Laparoscopic Cholecystectomy

Biliary Tract Disease in Girls and Young Women With Rett Syndrome

Revisión bibliográfica: abordaje quirúrgico de las patologías de la vesícula biliar en niños

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