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Cholelithiasis and its complications in children and adolescents: update and case discussion
Cori McClure Poffenberger1, Marianne Gausche-Hill, Steven Ngai
1Department of Emergency Medicine, Harbor-UCLA Medical Center, Torrance, CA 90509, USA. poff@emedharbor.edu
Insights
Gallbladder disease, or cholelithiasis, is increasing in children. This review covers the diagnosis and treatment of pediatric gallstones, highlighting this growing concern for healthcare providers.
Area of Science:
- Pediatric Gastroenterology
- Hepatobiliary Diseases
- Pediatric Surgery
Background:
- Gallbladder disease, specifically cholelithiasis (gallstones), is increasingly diagnosed in pediatric populations.
- While less common than in adults, the rising incidence necessitates greater awareness among pediatric healthcare providers.
- Understanding biliary disease manifestations in children is crucial for timely diagnosis and management.
Observation:
- This article uses case discussions to explore the clinical presentation of pediatric cholelithiasis.
- It examines the spectrum of gallbladder disease and its potential complications in infants and children.
- The focus is on providing a comprehensive overview of current knowledge.
Findings:
- The review synthesizes the latest evidence regarding the diagnosis of pediatric gallstones.
- It discusses various treatment options and management strategies for cholelithiasis in children.
- Case examples illustrate the diverse clinical scenarios encountered.
Implications:
- Increased awareness and understanding of pediatric gallbladder disease are essential for clinicians.
- Early diagnosis and appropriate management can prevent serious complications.
- This information supports evidence-based care for children with biliary conditions.
Abstract:
In recent years, gallbladder disease, primarily in the form of cholelithiasis, has been on the rise among infants and children. Although pediatric gallbladder disease is still less prevalent than adult gallbladder disease, physicians and other clinicians who care for children need to be aware of this underappreciated problem and understand the manifestations of biliary disease in the pediatric population. In this article, case discussions will serve as a platform for discussing the clinical spectrum of cholelithiasis and its complications in children as well as discussing the latest evidence related to diagnosis and treatment.
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