2014, Number S2
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Rev Med Inst Mex Seguro Soc 2014; 52 (S2)
Characteristics of pediatric patients with biliary lithiasis. Immediate post-operative evolution
Espinosa-Saavedra D, Flores-Calderón J, González-Ortiz B, Rodríguez-Gonzáleza P
Language: Spanish
References: 19
Page: 74-77
PDF size: 112.39 Kb.
ABSTRACT
Background: Biliary lithiasis is a disease that is rarely diagnosed in children;
in Mexico, its prevalence is less than 1 %. Due to the scarcity of
investigations addressing epidemiology and surgical outcomes in pediatric
patients, our purpose was to establish the epidemiology and postoperative
course in children with biliary lithiasis.
Methods: A descriptive, cross-sectional study was conducted. All
patients with a diagnosis of biliary lithiasis treated over a 6-year period
with complete data in their medical records were included.
Results: Thirty children with biliary lithiasis with a mean of 12.5 years of
age were analyzed; 66.7 % were female and 63 % were older than 11
years. Etiology was idiopathic in 93 %. The most important symptoms
were abdominal pain, nausea and vomiting (77 %). 100% of the patients
were diagnosed with ultrasonography. Laparoscopic cholecystectomy
was performed in 60 % of the cases and no differences were observed
in terms of complications compared with open surgery. The advantage
for laparoscopic cholecystectomy was a reduced fasting and hospitalization
time.
Conclusions: Biliary lithiasis occurs more frequently in adolescent
females, hemolytic causes are rare and in most cases no cause was
identifi ed. More epidemiological studies are needed in order to understand
the natural history of the disease in children
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