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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Autores principales: 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
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2003
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000100006
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spelling 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
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