儿科胆结石病,术后结果和内镜治疗:一个单一中心5年经验
Sukhdeep Jatana1, Anastasia Sizov2, Uzair Jogiat1
1Department of Surgery, University of Alberta, Edmonton, Alberta, Canada.
Paediatrics & child health
|December 1, 2025
概括
儿科胆结石病正在上升,往往以更长的住院时间和超重儿童的更多并发症出现. 早期诊断和体重管理对于更好的结果至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 儿科手术 儿科手术
- 公共卫生 公共卫生
背景情况:
- 儿科胆结石疾病的发病率正在增加,与儿童肥胖率的上升有关.
- 延迟呈现和需要手术和内镜干预的需要是严重的担忧.
研究的目的:
- 评估小儿科患者胆囊切除术的发生率.
- 为了分析胆结石病理的分布.
- 评估身体质量指数 (BMI) 的影响以及内镜逆行胆瘤胆瘤学 (ERCP) 的必要性.
主要方法:
- 对接受胆囊切除术的儿科患者进行了回顾性队列研究.
- 不同病理学之间的基线特征和结果的比较.
- 超重 (BMI ≥85百分位) 和正常体重队列之间的比较.
主要成果:
- 包括210名儿科患者; 69.9%的患者超重,77.3%的患者是女性.
- 突发症状与显著更长的停留时间 (LOS) 相相关 (P < 0.001).
- 超重患者出现的并发症更多 (16% vs. 7%,P = 0.044),尽管在正常体重患者中,对于特定的突发和选择性病例来说,LOS更高.
结论:
- 儿科胆结石疾病经常出现突发性,导致更糟糕的结果,如长时间的LOS.
- 相当数量的患者需要ERCP治疗常见胆道疾病.
- 早期诊断,手术转诊和体重管理策略对于预防儿童严重胆结石疾病至关重要.
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