The selected aspect of diagnosis and treatment of cholelithiasis in children Wojciech Dębek, Dariusz Marek Lebensztejn Medical Science Review - Hepatologia 2009; 9 91-94 aaICID: 902250
Article type: Review article
IC™ Value: 3.04
Abstract provided by Publisher
Cholelithiasis (ChL) in children has become increasingly common during the last years. The increased morbidity results most likely from genetic factors, obesity, hemolytic disorders, parenteral nutrition, and dehydration. In general, gallstones develop in the bile as the precipitates of cholesterol. This is usually combined with a decreased gallbladder motility supporting stone formation. Thus the gallstones are mostly located in the gallbladder. The diagnosis of ChL is mainly based on ultrasound examination (US). US can be supplemented by other techniques such as endoscopic US (EUS), magnetic resonance cholangiopancre-atography (MRCP), or endoscopic retrograde cholangiopancreatography (ERCP). It is commonly accepted that cholecystectomy is the method of choice in the treatment of pediatric patients suffering from symptomatic gallstones. In most cases, laparoscopic cholecystectomy (LC) is a highly effective procedure with a short recovery time and low complication rate. Nowadays, LC can be safely performed in congenital hemolytic disorders, significant obesity, and after extensive abdominal surgical procedures as well as in other disorders in patients of all age groups.