Litiasis biliar en niños: un estudio clínico-morfológico
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 and methods: Twenty six children (13 male, aged 1 month to 14 years) were prospec...
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Sociedad Médica de Santiago
2003
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oai:scielo:S0034-988720030001000062003-05-13Litiasis biliar en niños: un estudio clínico-morfológicoHarris D,PaulChateau I,BernarditaMiquel P,Juan FranciscoZavala B,AlejandroMontes C,PatricioHerrera V,José MiguelZúñiga R,SergioLarraín B,FranciscoSantos M,MarcelaContador M,Mónica Biliary tract diseases Cholelithiasis Laparoscopy Laparotomy 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 and methods: 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%), abdominal pain (46%) and jaundice (23%) 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 (Rev Méd Chile 2003; 131: 37-45)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.131 n.1 20032003-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000100006es10.4067/S0034-98872003000100006 |
institution |
Scielo Chile |
collection |
Scielo Chile |
language |
Spanish / Castilian |
topic |
Biliary tract diseases Cholelithiasis Laparoscopy Laparotomy |
spellingShingle |
Biliary tract diseases Cholelithiasis Laparoscopy Laparotomy Harris D,Paul Chateau I,Bernardita Miquel P,Juan Francisco Zavala B,Alejandro Montes C,Patricio Herrera V,José Miguel Zúñiga R,Sergio Larraín B,Francisco Santos M,Marcela Contador M,Mónica Litiasis biliar en niños: un estudio clínico-morfológico |
description |
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 and methods: 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%), abdominal pain (46%) and jaundice (23%) 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 (Rev Méd Chile 2003; 131: 37-45) |
author |
Harris D,Paul Chateau I,Bernardita Miquel P,Juan Francisco Zavala B,Alejandro Montes C,Patricio Herrera V,José Miguel Zúñiga R,Sergio Larraín B,Francisco Santos M,Marcela Contador M,Mónica |
author_facet |
Harris D,Paul Chateau I,Bernardita Miquel P,Juan Francisco Zavala B,Alejandro Montes C,Patricio Herrera V,José Miguel Zúñiga R,Sergio Larraín B,Francisco Santos M,Marcela Contador M,Mónica |
author_sort |
Harris D,Paul |
title |
Litiasis biliar en niños: un estudio clínico-morfológico |
title_short |
Litiasis biliar en niños: un estudio clínico-morfológico |
title_full |
Litiasis biliar en niños: un estudio clínico-morfológico |
title_fullStr |
Litiasis biliar en niños: un estudio clínico-morfológico |
title_full_unstemmed |
Litiasis biliar en niños: un estudio clínico-morfológico |
title_sort |
litiasis biliar en niños: un estudio clínico-morfológico |
publisher |
Sociedad Médica de Santiago |
publishDate |
2003 |
url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000100006 |
work_keys_str_mv |
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