Zenon Pogorelić1, Maja Aralica2, Miro Jukić3, Vanda Žitko4, Ranka Despot4, Ivo Jurić5. 1. Department of Pediatric Surgery, University Hospital of Split, Spinciceva; and University of Split, School of Medicine, Soltanska; Split, Croatia. Correspondence to: Assist. Prof. Zenon Pogorelić, Department of Pediatric Surgery, Head, University Hospital of Split, Spinčićeva 1, 21 000 Split, Croatia. zpogorelic@gmail.com. 2. University of Split, School of Medicine, Soltanska 2; Split, Croatia. 3. Department of Pediatric Surgery, University Hospital of Split, Spinciceva, Split, Croatia. 4. Department of Pediatrics, University Hospital of Split, Spinciceva, Split, Croatia. 5. Department of Pediatric Surgery, University Hospital of Split, Spinciceva; and University of Split, School of Medicine, Soltanska; Split, Croatia.
Abstract
OBJECTIVE: Aim of this study was to examine the changes in incidence of pediatric cholecystectomies. METHODS: Based on a review of hospital-records, children were divided into two groups regarding year of surgery (Group I: 1998-2007; Group II: 2008-2017) and their characteristics were compared. RESULTS: Number of cholecystecomies increased from 11 to 34. Median age increased from 11 to 15.5 years and mean BMI increased from 19.2 cm/m2 to 23.0 cm/m2. Hereditary spherocytosis decreased from 63.6% to 11.8% (P=0.001) of indications for cholecystectomy, while proportion of cholesterol stones increased from 27.3% to 70.6% (P=0.006). Frequency of laparoscopic cholecystectomy increased from 36.4% to 85.3% (P=0.001). Duration of hospital stay shortened from 8 to 4 days (P=0.008). CONCLUSIONS: Number of pediatric cholecystectomies has significantly increased in the last 20 years, as well as average BMI of the observed population This probably signifies a correlation between rising obesity rates and increase in frequency of symptomatic cholelithiasis in children.
OBJECTIVE: Aim of this study was to examine the changes in incidence of pediatric cholecystectomies. METHODS: Based on a review of hospital-records, children were divided into two groups regarding year of surgery (Group I: 1998-2007; Group II: 2008-2017) and their characteristics were compared. RESULTS: Number of cholecystecomies increased from 11 to 34. Median age increased from 11 to 15.5 years and mean BMI increased from 19.2 cm/m2 to 23.0 cm/m2. Hereditary spherocytosis decreased from 63.6% to 11.8% (P=0.001) of indications for cholecystectomy, while proportion of cholesterol stones increased from 27.3% to 70.6% (P=0.006). Frequency of laparoscopic cholecystectomy increased from 36.4% to 85.3% (P=0.001). Duration of hospital stay shortened from 8 to 4 days (P=0.008). CONCLUSIONS: Number of pediatric cholecystectomies has significantly increased in the last 20 years, as well as average BMI of the observed population This probably signifies a correlation between rising obesity rates and increase in frequency of symptomatic cholelithiasis in children.
Authors: Włodzimierz Otto; Janusz Sierdziński; Justyna Smaga; Oskar Kornasiewicz; Krzysztof Dudek; Krzysztof Zieniewicz Journal: J Clin Med Date: 2022-06-13 Impact factor: 4.964