Litiasis biliar en niños: un estudio clínico-morfológico / Clinical and morphological features of choletithiasis in children
Rev. méd. Chile
;
131(1): 37-45, 2003. ilus, tab
Article
in Spanish
| LILACS
| ID: lil-342221
RESUMO
Background:
The use of ultrasonography increased the frequency of diagnosis of cholelithiasis in childhood.Aim:
To determine the clinical and laboratory features and follow up of children with biliary stones. Patients andmethods:
Twenty six children (13 male, aged 1 month to 14 years) were prospectively enrolled.Results:
Nine children had a past medical history of factors potentially predisposing to stones. A clinical presentation with vomiting (50 percent), abdominal pain (46 percent) and jaundice (23 percent) was the most common indication for surgery. The diagnosis was based on abdominal ultrasound in all children. Cholecystectomy was performed in 15 children (laparoscopy in 13 and open surgery in 2). Children who underwent surgery were older than those who did not undergo surgery (p <0.001), but they did not have differences in liver function tests. Eight children had pigmented stones and seven had cholesterol stones.Conclusions:
In our patients, neither family history nor laboratory tests were useful in the diagnosis as well as in the clinical decision of surgery, which was based on symptoms. The presence of cholesterol stones in a high proportion of these children may be a unique situation in Chile, considering the high prevalence of this disease in the adult population
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Cholelithiasis
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2003
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Pontificia Universidad Católica de Chile/CL
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