Risk factors, Complications and Outcome of Pediatric Gall Bladder Stones in Aswan University Hospital

Document Type : Original Article

Authors

1 Department of Gastroenterology and tropical medicine, Faculty of Medicine Aswan university

2 Department of General Surgery, Faculty of Medicine Aswan university

3 Department of Gastroenterology and tropical medicine, Faculty of Medicine Assiut university

4 Department of General Surgery, Faculty of Medicine, Assiut university

Abstract

Abstract
Background: Pediatric gallstones have been increasingly diagnosed in the recent years, mainly due to widespread use of ultrasonography but still considered to be uncommon with a prevalence between 0.13 and 1.9%.
Purpose: study the possible etiology, presentation, complications and outcome of gallstone disease among children in Aswan governorate.
Methods: This observational longitudinal study was performed on 24 cases diagnosed with gallstone below the age of 18 years old, from October 2022 to November 2023.
Results: The mean age was 8.08 years with a female predominance (58.3%). Most cases were symptomatic (70.8%) with Fatty Food intolerance was (45.8 %). The most common risk factors were history of neonatal intensive care unit (NICU) admission (29.2%) and family history of gallstones (29.2%). Only one case (4.3%) developed complications (choledocholithiasis). Surgery (cholecystectomy) was needed in (70.8%) while (29.2%) of cases received medical management. (79.2%) of cases achieved complete improvement.
Conclusions: Most cases were symptomatic at diagnosis. Important risk factors were history of neonatal intensive care unit (NICU) admission and family history. Complication rates were low. Cholecystectomy was needed in most of cases with excellent outcomes. Our findings went with that cholecystectomy remains the standard of care for symptomatic gallstones in children.

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