TY - JOUR
T1 - Calcolosi biliare
T2 - non solo per adulti...
AU - Rossi, Gloria
AU - Cirillo, Francesco
AU - Sciveres, Marco
AU - Riva, Silvia
AU - Ricotta, Calogero
AU - Spada, Marco
AU - Maggiore, Giuseppe
PY - 2015/10/1
Y1 - 2015/10/1
N2 - In recent years cholelithiasis has been on the rise among infants and children, partly because of improved diagnostic modalities, but also because of an increased awareness of emerging comorbidities, such as childhood obesity, and other associated risk factors. Pigment stones are the commonest type of gallstones in children, without recognizable predisposing factors in infants or secondary to a predisposing disease such as chronic hemolysis and ileal disease. In adolescents, idiopathic cholesterol gallstones account for the majority, just like in adults. Gallbladder stones are found in 80% to 90% of cases and common bile duct stones in 10% to 20% of cases. When common bile duct stones are found, a choledocal cyst with anomalous pancreatobiliary duct junction needs to be excluded. Cholecystectomy is not indicated for silent gallstones, except in children with a predisposing disease such as chronic haemolysis. Treatment of common bile duct stones includes interventional radiologic, endoscopic or surgical procedures. In children without a predisposing disease or no residual gallstones indicating a cholecystectomy, conservative management may be proposed in specialised centres, especially for infants.
AB - In recent years cholelithiasis has been on the rise among infants and children, partly because of improved diagnostic modalities, but also because of an increased awareness of emerging comorbidities, such as childhood obesity, and other associated risk factors. Pigment stones are the commonest type of gallstones in children, without recognizable predisposing factors in infants or secondary to a predisposing disease such as chronic hemolysis and ileal disease. In adolescents, idiopathic cholesterol gallstones account for the majority, just like in adults. Gallbladder stones are found in 80% to 90% of cases and common bile duct stones in 10% to 20% of cases. When common bile duct stones are found, a choledocal cyst with anomalous pancreatobiliary duct junction needs to be excluded. Cholecystectomy is not indicated for silent gallstones, except in children with a predisposing disease such as chronic haemolysis. Treatment of common bile duct stones includes interventional radiologic, endoscopic or surgical procedures. In children without a predisposing disease or no residual gallstones indicating a cholecystectomy, conservative management may be proposed in specialised centres, especially for infants.
KW - Acute acalculous cholecystitis
KW - Biliary dyskinesia
KW - Calculous cholecystitis
KW - Cholecystectomy
KW - Cholelithiasis
KW - Gallstone
UR - http://www.scopus.com/inward/record.url?scp=84947437222&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84947437222&partnerID=8YFLogxK
M3 - Articolo
AN - SCOPUS:84947437222
VL - 34
SP - 495
EP - 503
JO - Medico e Bambino
JF - Medico e Bambino
SN - 1591-3090
IS - 8
ER -