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Gallbladder disease in children

David H Rothstein1, Carroll M Harmon1

  • 1Department of Pediatric Surgery, Women and Children׳s Hospital of Buffalo, 219 Bryant St, Buffalo, New York 14222; Department of Surgery, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York.

Seminars in Pediatric Surgery
|August 14, 2016
PubMed

Insights

Pediatric biliary disease is increasing, linked to rising childhood obesity and more gallbladder removal surgeries. Surgeons face challenges diagnosing and treating gallbladder pain without stones, like biliary dyskinesia.

Area of Science:

  • Pediatric Gastroenterology
  • Surgical Management of Biliary Tract Disease

Background:

  • Biliary disease incidence in children has significantly increased over recent decades.
  • This rise correlates with increasing rates of pediatric obesity.
  • Cholecystectomy rates in children have also seen a notable increase.

Purpose of the Study:

  • To highlight the changing landscape of pediatric biliary disease.
  • To discuss the diagnostic and therapeutic challenges posed by acalculous gallbladder conditions.

Main Methods:

  • Review of recent trends in pediatric biliary disease.
  • Analysis of factors contributing to increased incidence.
  • Examination of challenges in diagnosing and managing biliary dyskinesia.

Main Results:

  • A marked increase in pediatric biliary disease incidence.
  • A parallel rise in pediatric obesity and cholecystectomy rates.
  • Growing prevalence of acalculous gallbladder pain, including biliary dyskinesia.

Conclusions:

  • Pediatric biliary disease patterns are shifting, with obesity as a likely driver.
  • Acalculous gallbladder conditions present complex management issues for pediatric surgeons.
  • Further research is needed to refine diagnostic and treatment strategies for these conditions.

Keywords:
Acalculous cholecystitisBiliary dyskinesiaCholelithiasisCritical view of safetyGallbladderPediatric biliary disease

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