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©2008 The WJG Press and Baishideng.
World J Gastroenterol. Mar 7, 2008; 14(9): 1383-1388
Published online Mar 7, 2008. doi: 10.3748/wjg.14.1383
Published online Mar 7, 2008. doi: 10.3748/wjg.14.1383
Table 1 Risk factors for cholelithiasis in 181 children observed at Pediatric Medical and Surgical Department
Risk factor | Pediatric medical departments | Pediatric surgical department | Total |
Hemolytic disorders | 9 | 7 | 16 |
Familiarity | 46 | 5 | 51 |
Obesity | 14 | 0 | 14 |
NPT1 | 0 | 4 | 4 |
Hepatobiliary chronic disease | 8 | 1 | 9 |
Cystic fibrosis | 2 | 0 | 2 |
Ceftriaxone therapy | 4 | 7 | 11 |
Abdominal surgery | 2 | 0 | 2 |
IgA deficiency | 1 | 0 | 1 |
Gilbert’s disease | 2 | 1 | 3 |
No risk factors identified | 55 | 40 | 95 |
Table 2 Clinical characteristics, type of treatment and outcome in 119 children with cholelithiasis observed at Pediatric Medical Department
UDCA therapy | Cholecystectomy | Wait and see | |
Asymptomatic | 33 | 2 | 17 |
Colicky pain | 18 | 7 | 6 |
Typical biliary tract symptoms | 26 | 4 | 7 |
Atypical symptoms | 6 | 0 | 3 |
Pancreatitis/Cholecystitis | 0 | 1 | 0 |
Resolution of lithiasis | 6 | 14 | 0 |
Recurrence of lithiasis | 3 | 0 | 0 |
Resolution of symptoms | 40 | 14 | 0 |
Recurrence of symptoms | 0 | 3 | 0 |
Total of patients | 83 | 14 | 33 |
Table 3 Clinical characteristics, type of treatment and outcome in 62 children with cholelithiasis observed at Pediatric Surgical Department
UDCA therapy | Cholecystectomy | Wait and see | |
Asymptomatic | 8 | 9 | 1 |
Colicky pain | 12 | 23 | 0 |
Typical biliary tract symptoms | 9 | 14 | 0 |
Atypical symptoms | 3 | 3 | 0 |
Pancreatitis/Cholecystitis | 2 | 1 | 0 |
Resolution of lithiasis | 2 | 50 | 0 |
Recurrence of lithiasis | 0 | 0 | 0 |
Resolution of symptoms | 9 | 50 | 0 |
Recurrence of symptoms | 0 | 0 | 0 |
Total of patients | 34 | 50 | 1 |
- Citation: Corte CD, Falchetti D, Nebbia G, Calacoci M, Pastore M, Francavilla R, Marcellini M, Vajro P, Iorio R. Management of cholelithiasis in Italian children: A national multicenter study. World J Gastroenterol 2008; 14(9): 1383-1388
- URL: https://www.wjgnet.com/1007-9327/full/v14/i9/1383.htm
- DOI: https://dx.doi.org/10.3748/wjg.14.1383