ABSTRACT
The article contains the data about the examination and surgical treatment of 21 children with cholelithiasis, most of them girls (6:1). There were 7 children at the age between 4 and 10 and 14 children at the age between 11 and 14 years. 15 patients had accompanying diseases of the gastrointestinal tract. Cholelithiasis in children generally may be caused by abnormalities of biliary tract formation. The ultrasonography is the most informative method of the diagnosis of the biliary tract diseases. This method enables early surgery and preventing involvement of other organs into pathological process to aroid complications. 18 patients had cholecystectomy and 3 patients had the additional lithotomy with papillosphincteroplasty. The remote results within 1 to 4 years were very good in 19 patients. Two patients were reoperated because of major duodenal papilla stenosis and cholelithiasis relapse.
Subject(s)
Cholelithiasis , Adolescent , Child , Child, Preschool , Cholecystectomy , Cholelithiasis/diagnosis , Cholelithiasis/etiology , Cholelithiasis/surgery , Diagnosis, Differential , Female , Humans , Male , Reoperation , Retrospective Studies , Treatment OutcomeSubject(s)
Hematoma/therapy , Skull , Age Factors , Female , Hematoma/etiology , Hematoma/surgery , Humans , Infant , Infant, Newborn , Male , Skull/injuriesSubject(s)
Pyloric Stenosis/genetics , Child , Child, Preschool , Female , Humans , Infant , Male , Pyloric Stenosis/congenitalSubject(s)
Duodenal Diseases/surgery , Jejunal Diseases/surgery , Adolescent , Duodenal Diseases/diagnosis , Female , Hernia/diagnosis , Herniorrhaphy , Humans , Infant , Jejunal Diseases/diagnosis , MaleSubject(s)
Catheterization/adverse effects , General Surgery , Iatrogenic Disease , Malpractice , Wounds and Injuries , Child , Child, Preschool , Female , Humans , Infant , Infant, Newborn , Male , VeinsABSTRACT
Seven cases of duplicate digestive tubes were analyzed, five cases concerning the small intestine. The operative treatment is thought to be indicated as soon as the pathology is diagnosed because of the potential risk of complications. Dissection of the duplication or resection of it with the presenting organ is the method of choice. In cases with the common wall of the main digestive tube and duplication a partial dissection of the latter is permissible followed by demucosation and peritonization of the defect by local tissues.