Vikesh Agrawal1, Abhishek Tiwari1, Dhananjaya Sharma2, Rekha Agrawal3. 1. Pediatric Surgery Division, Netaji Subhash Chandra Bose Medical College, Jabalpur, MP, India. 2. Department of Surgery, Netaji Subhash Chandra Bose Medical College, Jabalpur, MP, India. 3. Department of Radiodiagnosis, Netaji Subhash Chandra Bose Medical College, Jabalpur, MP, India.
Abstract
OBJECTIVES: We reviewed hospital records of pediatric cholelithiasis to develop an etiology-based decision-making protocol. METHODS: This retrospective study was conducted on consecutive pediatric cholelithiasis patients from July, 2014 to June, 2019 in a tertiary care center. Pediatric cholelithiasis was classified according to etiology, and the outcome of medical/surgical treatment was noted. RESULTS: Out of 354 pediatric patients was analyzed. Commonest (56.2%) etiology was idiopathic; followed by ceftriaxone pseudolithiasis (26.8%). Pigment stones were associated with the highest rate of complications. Non-hemolytic stones had a lower complication rate and a high rate of resolution with medical therapy. CONCLUSION: Hemolytic and symptomatic stones warrant an early cholecystec-tomy, whereas asymptomatic idiopathic stones, ceftriaxone stones, and TPN-induced stones are candidates for medical therapy under close observation.
OBJECTIVES: We reviewed hospital records of pediatric cholelithiasis to develop an etiology-based decision-making protocol. METHODS: This retrospective study was conducted on consecutive pediatric cholelithiasispatients from July, 2014 to June, 2019 in a tertiary care center. Pediatric cholelithiasis was classified according to etiology, and the outcome of medical/surgical treatment was noted. RESULTS: Out of 354 pediatric patients was analyzed. Commonest (56.2%) etiology was idiopathic; followed by ceftriaxonepseudolithiasis (26.8%). Pigment stones were associated with the highest rate of complications. Non-hemolytic stones had a lower complication rate and a high rate of resolution with medical therapy. CONCLUSION: Hemolytic and symptomatic stones warrant an early cholecystec-tomy, whereas asymptomatic idiopathic stones, ceftriaxone stones, and TPN-induced stones are candidates for medical therapy under close observation.