【摘 要】
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AIM:To evaluate the management of Italian children with cholelithiasis observed at Pediatric and Surgical Departments linked to Italian Society of Pediatric Gas
【机 构】
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Department of Paediatrics,University of Naples “Federico Ⅱ”,Via S.Pansini 5,Naples 80131,Italy“,”Dep
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AIM:To evaluate the management of Italian children with cholelithiasis observed at Pediatric and Surgical Departments linked to Italian Society of Pediatric Gastroenterology Hepatology and Nutrition.METHODS:One-hundred-eighty children (90 males,median age at diagnosis 7.3 years; range,0-18 years)with echographic evidence of cholelithiasis were enrolled in the study; the data were collected by an anonymous questionnaire sent to participating centers.RESULTS:One hundred seventeen patients were treated with ursodeoxycholic acid; in 8 children dissolution of gallstones was observed,but the cholelithiasis recurred in 3 of them.Sixty-five percent of symptomatic children treated became asymptomatic.Sixty-four patients were treated with cholecystectomy and in only 2 cases a postoperative complication was reported.Thirty-four children received no treatment and were followed with clinical and echographic controls; in no case the development of complications was reported.CONCLUSION:The therapeutic strategies were extremely heterogeneous.Ursodeoxycholic acid was ineffective in dissolution of gallstones but it had a positive effect on the symptoms.Laparoscopic cholecystectomy was confirmed to be an efficacy and safe treatment for pediatric gallstones.
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