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Çocuklarda kolelitiyazis: Antalya yöresinde yedi yıllık deneyim

Cholelithiasis in children: Seven years' experience in Antalya region

Journal Name:

  • Selçuk Tıp Dergisi

Publication Year:

  • 2006

Key Words:

Keywords (Original Language):

Author NameUniversity of Author
Abstract (2. Language): 
Purpose: The aim of this study is the documentation of characteristics of cases diagnosed and followed as cholelithiasis which is quite rare in childhood period. Material and method: Data of 23 cases diagnosed as cholelithiasis in our clinic between June 1998 and June 2005 were evaluated. Results: Fifteen of cases were female (65.2%) and eight were male (mean age: 8.3±4.7 year). The most important reason of stone formation was hemolytic diseases (43.5%). No underlying reason could be found in 30.4% of cases. About 39% of all cases and 80% of cases with hemolytic diseases were asymptomatic. Cholecystectomy was performed in nine of 23 cases (39.1 %). Multiple stones were detected in 78% of all cases while all patients with hemolytic disease had multiple stones. Stone analysis was not performed in any of patients. Conclusion: Knowledge about cholelithia¬sis which rarely detected in children is insufficient. Most of cases with hemolytic disease are asymptomatic and gall bladder stones were detected accidentally. Periodic follow up of these patients is very important. Laparoscopic cholecystectomy must be performed in all symptomatic patients and in patients having stones larger than 2 cm diameter. Needed significance to stone analysis must be given in our country.
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Abstract (Original Language): 
Amaç: Bu çalışmanın amacı, çocukluk çağında oldukça nadir olan kolelitiyazis tanısı konulup izlenen olguların özelliklerinin ortaya konulmasıdır. Gereç ve yöntem: Haziran 1998 ve Haziran 2005 döneminde kliniğimizde kolelitiyazis tanısı alan 23 olguya ait veriler değerlendirildi. Bulgular: Olguların 15'i kız (%65.2), sekizi erkek idi (ortalama yaş: 8.3±4.7 yıl). En önemli taş oluşum sebebi hemolitik hastalıklar (%43.5) idi. Olguların %30.4'ünde altta yatan bir neden bulunamadı. Tüm olguların %39'u, hemolitik hastalığı olan olguların ise %80'i asempto-matikti. Kolesistektomi 23 olgunun dokuzunda [%39.1 ] yapıldı. Olguların %78'İnde kesede birden fazla taş sap¬tanırken hemolitik hastalığı olanların hepsinde çoğul kese taşlan vardı. Taş analizi hiçbir olguda yapılamamıştı. Sonuç: Çocuklarda nadiren saptanan kolelityaz konusunda bilgi birikimi yetersizdir. Hemolitik hastalığı olan olgu¬ların önemli bölümü asemptomatik olup, kese taşları tesadüfen tespit edilmektedir. Bu olguların periyodik izlemi önemlidir. Semptomatik hastalarda ve çapı 2 cm'den büyük hastalarda laparaskopik kolesistektomi yapılmalıdır, Safra taşı analizine ülkemizde gereken önem verilmelidir.
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  • Turkish

REFERENCES

References: 

1. Wendtland-Born A, Wiewrodt B, Bender SW, Weitzel D. Prevalence of gallstones in che neonatal period. Ultraschall Med 1997; 13: 80-3.
2. Palasciano G, Portincasa P, vlndguerra V, Velardi A Tardi S, Baldassarre G, et al. Gallstone prevalance and gall¬bladder volume in children and adolescents: an epi¬demiological ultrasonographic survey and relationship to body mass index. Am J Gastroenterol 1 989; 84: 1378-82.
3. Miltenburg DM. Schaffer R 3rd, Breslin T, Brandt ML. Changing indications for pediatric cholecystectomy. Pediatrics 2000, 105:1250-3.
4. Soloway RD, Wu J. Analysis of gallstones. In: Muraca M; ed. Methods in Biliary Research. Boca Raton (FL): CRP Pres. Inc. 1995; 167-90.
5. Freisen CA Roberts CC. Cholelithiasis: Clinical characteris¬tics in children. Clin Pediatr 1989; 7: 294-8.
6. Özkan T, Kılıç Ş, Tarım A, Tanrıtanır A Özeke T. Çocukluk çağında kolelitiazis. Bursa Devlet Has. Bült. 1997; 13: 121-5.
7. McEvoy CF, Suchy FJ. Biliary tract disease in children. Pediatr Cfin North Am. 1996; 43: 75-98.
8. Stringer MD. Gallbladder disease and cholelithiasis. In: Howard ER, Stringer MD, Colombani PM; eds. Surgery of the Liver, Bile Ducts and Pancreas in Children. 2nd ed. London: Arnold Publishers; 2002; 189-208.
9. Bond LR. Hatty SR. Horn ME. Dick M, Meire HB, Bellingham AJ. Gall stones in sickle cell disease in the United Kingdom. Br Med J 1987; 295: 234-6.

10. Tamary H, Aviner S, Freud E. Miskin H, Krasnov T, Schwarz M, et al. High incidance of early cholelithiasis detected by ultrasonography in children and young adults with hereditary spherocytosis. J Pediatr hematol Oncol 2000; 25: 9S2A.
11. Ganesh R, Muralinath S, Sankaranarayanan VS, Sathiyasekaran M. Prevalence of cholelithiasis in children--a hospital-based observation. Indian J Gastroenterol. 2005; 24: 85.
12. Diehl AK. Gallstone size and the risk of gallbladder cancer. JAMA 1983; 250: 2323-6.
13. Simi M, Schietroma M, Carlei F, lannucci D, Cianca G, Leardi S. Is laparoscopic cholecystectomy a safe alterna¬tive to open cholecystectomy for pediatric patients with cholelithiasis? Endoscopy 1996; 28: 312-5.
14. Schoenfield U. Berci G, Carnovale RL, Casarella W. Caslowitz P, Chumley D, et al. The effect of ursodiol on the efficacy and safety of extracorporeal shock-wave lithotripsy of gallstones. The Dornier National Biliary Lithotripsy Study. N Engl J Med 1990; 323: 1239-45.
15. Rescorda FJ. Cholelithiasis, cholecystitis, and common bile duct stones. Curr Opin Pediatr 1997; 9: 276-82.
I 6. Stringer MD, Taylor DR, Soloway RD. Gallstone composi¬tion: are children different. J Pediatr 2003; 142: 435-40.

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