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[Gallstones in children]
M Christensen1, A V Wewer, L Edvardsen
1Kirurgisk gastroenterologisk afdeling, Hvidovre Hospital, Købehnavn.
Insights
Gallstones can affect children of all ages, with increasing incidence globally. Laparoscopic cholecystectomy is a safe and effective surgical treatment for pediatric gallstones when spontaneous dissolution is unlikely.
Area of Science:
- Pediatric Gastroenterology
- Hepatobiliary Surgery
Background:
- Gallstones (cholelithiasis) occur in children, including neonates.
- International incidence is rising, but Danish data are lacking.
- Associated conditions include hemolytic anemia, parenteral nutrition, and abdominal surgery.
Abstract:
Children of all ages, including neonates, can have gallstones. According to international data the incidence seems to be increasing, but Danish data are missing. The most frequent associated conditions are haemolytic anaemia, children treated with total parenteral nutrition, and children who have undergone abdominal surgery, while older children with pregnancy or obesity are disposed. Between 40 and 65% have cholelithiasis on an idiopathic basis. When spontaneous dissolution of the gallstones is not to be expected, the treatment is surgery, and laparoscopic cholecystectomy is a well-described, safe and mini-invasive treatment, which can also be recommended for children.