How Good is Cholecystectomy For Biliary Dyskinesia in Pediatric Patients?

Discussion Biliary disease includes gallstones, cholecystitis (inflammation of the gallbladder), cholangiopathy and cholangitis (pathology of the bile ducts), biliary dyskinesia, gangrene, and cancer. Some are often overlapping as gallstones often contributing to cholecystitis and cholangitis. Biliary dyskinesia (BD) is well-recognized in adults. Adult criteria include: “abdominal pain located in the epigastrium and/or right upper quadrant along with; buildup of pain to a steady level and lasting 30 minutes or longer, pain occurring at different intervals and not daily, severe enough to interrupt activities or lead to an emergency department visit, the pain is not significantly (<20%) related to bowel movements, and not significantly (<20%) relieved by postural change or acid suppression.” There is not a similar BD definition for the pediatric population, making research to improve outcomes and treatment decisions more difficult. According to the US National Library of Medicine BD is “[a] motility disorder characterized by biliary [colic], absence of [gallstones], and an abnormal [gallbladder] ejection fraction. It is caused by gallbladder dyskinesia and/or [sphincter of Oddi dysfunction].” Criteria often used in the pediatric population includes “chronic or recurrent epigastric or right upper quadrant pain or other discomfort, absent gallstones and abnormal [gallbladder ejection fraction]…” on cholecystokinin-cholescintigraphy....
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news