Pediatric cholelithiasis: a comprehensive analysis of clinical characteristics and surgical treatment strategies
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View abstract on PubMed
Summary
This summary is machine-generated.Pediatric cholelithiasis affects children, with varied clinical features and treatment outcomes. Individualized approaches are key, favoring conservative management initially, with surgery for severe cases and endoscopic therapy for bile duct stones.
Area Of Science
- Pediatric Gastroenterology
- Hepatobiliary Surgery
- Medical Imaging
Background
- Pediatric cholelithiasis (gallstones in children) is a growing health concern with complex causes.
- Understanding its clinical features, primary diseases, and imaging is crucial for effective management.
- This study analyzes clinical data to improve treatment strategies for pediatric gallstones and bile duct stones.
Purpose Of The Study
- To analyze the clinical characteristics of pediatric cholelithiasis.
- To investigate treatment strategies and outcomes for different types of pediatric gallstones and bile duct stones.
- To provide insights into optimizing management for pediatric biliary calculus.
Main Methods
- Retrospective analysis of 185 pediatric patients with cholelithiasis from June 2017 to January 2024.
- Data collected included demographics, comorbidities, imaging, and laboratory indicators.
- Treatment modalities (conservative, surgical, endoscopic) and outcomes were evaluated, including follow-up assessments.
Main Results
- Gallbladder stones were most common (57.8%), followed by cholangiolithiasis (25.4%).
- Laparoscopic cholecystectomy showed no recurrence; gallbladder-preserving lithotomy had a 14.3% recurrence rate.
- Endoscopic therapy for bile duct stones was effective, with low recurrence rates observed during shorter follow-up periods.
Conclusions
- Pediatric patients with normal BMI require attention; individualized treatment is essential.
- Conservative management is the first-line approach; cholecystectomy for severe gallbladder conditions.
- Gallbladder-preserving lithotomy and endoscopic therapy offer effective alternatives for specific pediatric cholelithiasis cases.
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