A Clinical Study of Cholelithiais in Children
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
Background: Cholelithiasis is relatively rare in children but the increased use of ultrasonography has led to increased detection of asymptomatic gall stones in children. Gallbladder disease in children is evolving and studies suggest an ever increasing frequency of gallbladder disease and resultant cholecystectomies in children. The clinical picture of cholelithiasis in children is analyzed in the study. Methods: A cross-sectional study in the Department of Surgery, Regional Institute of Medical Sciences, Imphal, Manipur. The procedure and data collection were carried out for two calendar years from September 2015 to August 2017. Forty children less than 18 years were enrolled in the study. Results: Among the 40 children, 12 (30%) patients are male and 28 (70%) are female patients. The peak age of incidence is found to be 11- 15 years (57.5%). Factors predisposing for gallstones are idiopathic in 28 patients (70%), obesity in 5 patients (12.5%), haemolytic disorders in 4 patients (10%), and other known etiology in 3 patients (7.5%). The symptoms reported by patients were right upper quadrant pain 14 patients (35%), asymptomatic in 9 patients (22.5%), right upper quadrant pain associated with vomiting were in 6 (15%) patients, 5 (12.5%) patients had nonspecific abdominal pain where as epigatsric pain was noticed in 4 (10%) patients and one (2.5%) patient each was noticed to have fat intolerance and cholestatic jaundice. Laparoscopic cholecystectomy was done for 27 (67.5%) patients, open cholecystectomy in 8 (20%) patients and 5 (12.5%) patients were treated conservatively. Conclusions: Cholelithiasis rarely occurs in children but the increased use of ultrasonography has led to increased detection of gall stones in patients. Majority of the patients do not have identifiable risk factors. Most of the patients present with right upper quadrant pain, nausea/vomiting and asymptomatic. Laparoscopic cholecystectomy was advised for majority of symptomatic cholelithiasis.
Authors and Affiliations
Dr. B. Jogendra, Dr. M. Bir kumar Sharma, Dr. Ksh. Raju, Dr. Kiran Silwal, Dr. Arjun Raja A, Dr. Thiyam Lokendro
Keywords
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- EP ID EP249835
- DOI 10.9790/0853-1611122631
- Views 87
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