Calcolosi biliare: non solo per adulti...

Translated title of the contribution: Gallstone: Not only an adult "affaire"'

Gloria Rossi, Francesco Cirillo, Marco Sciveres, Silvia Riva, Calogero Ricotta, Marco Spada, Giuseppe Maggiore

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Translated title of the contributionGallstone: Not only an adult "affaire"'
Original languageItalian
Pages (from-to)495-503
Number of pages9
JournalMedico e Bambino
Volume34
Issue number8
Publication statusPublished - Oct 1 2015

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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