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Search Results: 1 - 10 of 191 matches for " Peadiatric Cholelithiasis "
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A Prospective Study of Cholilithiasis in Children  [PDF]
Raiees Ahmad, Alfer Nafae, Shahnawaz Bashir, Pervaze Salam, Qayoom Khan, Malik Suhail, Umer Mushtaq, Javid Ahmad
Surgical Science (SS) , 2015, DOI: 10.4236/ss.2015.63024
Abstract:

Background: Gallstones are generally uncommon in infants and children. Formation of gallstone is a very poorly understood phenomenon. In general, the risk factors for cholithiasis in infants include patients who are ill, are receiving hyperalimentation, are premature, have congenital anomalies and have necrotizing enterocolitis. Children aged 1 - 5 years most frequently have hemolysis as the underlying condition [1]. Materials and Methods: From Jan 2012 to Feb 2014, a study entitled “A Prospective Study of Cholelithiasis in Children” was conducted in Postgraduate Department of General Surgery Govt. Medical College Srinagar. The patients selected for the study were in the age group of 1 to 14 years of either sex. There were a total of 141 cases, out of which only 38 had ultrasound documented gallstones. All the patients included in the study were evaluated for prevalence, clinical presentation, and pathological features of gallstones, and were analysed for metabolic causes of gallstones. Results: The prevalence of chliothiasis in symptomatic patients was found to be 26.95% higher than the prevalence of gallstones in children in other parts of world, also the mean age of presentation was 9.3 years ranging from 6 - 14 years. Male to female ratio was 3:2 and male predominance was found in all age groups contrary to female predominance in adults. Most common presenting symptom was right upper quadrant pain followed by vomiting and nausea similar to presentation of symptomatic gallstones in adults. 4 patients had a positive family history of cholithiasis in the first degree relatives; 25 (65.7%) patients had no underlying risk factor for gallstones contrary to presumption that gallstones in children are mostly secondary to some hematological disorder or other predisposing factors. Chronic cholecystities was found in 81% of patients with gallstones and composition of gallstones retrieved was different from those of adult gallstones with calcium carbonate gallstones relatively common in children but composition of black and brown stones was almost similar to adult stones. Conclusion: Gallstone disease was increasingly gaining recognition in peadiatic practice due to significant documented increase in non-heamolytic cases

Diagnostic and Therapeutic Implications of Cholelithiasis in Children  [PDF]
Nexhmi Hyseni, Sadik Llullaku, Sejdi Statovci, Murat Berisha, Hysni Jashari, Gani Ceku, Sali Grajqevci, Fjolla Hyseni
Surgical Science (SS) , 2016, DOI: 10.4236/ss.2016.73019
Abstract: Introduction: Cholecystitis, for a long time considered as a disease of adults, has had an increased documented incidence of non-haemolitic cholelithiasis in the Pediatric Surgery practice in the last 20 years. Even though diseases of the gall bladder are rare in children, pediatric patients account for 4% of all cases with cholecystectomy. Cholecystitis and other diseases of the gall bladder should be considered in differential diagnosis in every patient with abdominal pain in the right upper quadrant, followed by jaundice, especially in children with history of hemolysis. Aim: The aim is to discuss the diagnostic and therapeutic modalities in 6 children with acute cholecystitis and cholelithiasis diagnosed and treated at the clinic of the authors. Patients and Methods: In the last 5 years, at UCCK, 6 patients under 12 years of age were operated, cholecystectomy was performed. The disease was more prevalent in female patients (66.66%—4 patients) than in male patients (33.33%—2 patients). Mean age was 8.6. Clinical manifestations presented: increased body temperature, abdominal pain and abdominal tenderness during examination. Other clinical manifestations included: vomiting in 4 patients (66.66%), jaundice in 2 patients (33.33%). Lab results showed leucosytosis in 3 patients (50%), disorders of the liver in 2 patients (33%). 2 patients were diagnosed with spherocytosis and splenomegaly, 1 patient had empyema of gall bladder (wall thickness of the gall bladder > 3.7 mm). Clinical diagnosis was confirmed with ultrasound. Ultrasound criteria are: gall bladder thickness (3.5 mm), stones ose sludge with acoustic shadow, and collection of liquid around gall bladder (pericholecystitis). Results: All patients were initially treated with naso-gastric tube (suction), fluids and antibiotics. Cholecystectomy was performed in 4 patients and cholecys-tectomy with splenectomy in 2 patients due to spherocytosis. Discussion and conclusion: Choleli-thiasis in children is most commonly associated with haemolitic and haemoglobin diseases (Hereditary Spherocytosis, Sideropenic Anaemia, Thalasemia etc.). The incidence of cholesterol stones is higher than pigment stones. Cholecystitis and cholelithiasis in children are more common than previously thought. Ultrasound confirms with great accuracy the presence of stones and acalculous cholesytitis. Treatment is usually surgical, laparoscopic or open surgery, depending on the stage of the disease and the experience of the surgeon.
Multi-Drug Resistant Acute Otitis Media amongst Children Attending Out-Patient Clinic in Chukwuemeka Odumegwu Ojukwu University Teaching Hospital, Awka, South-East Nigeria  [PDF]
Shedrack Obiora Ejiofor, Amarachi Divine Edeh, Chijioke Elias Ezeudu, Thaddeus Harrison Gugu, Angus Nnamdi Oli
Advances in Microbiology (AiM) , 2016, DOI: 10.4236/aim.2016.67049
Abstract: Objective: The study assessed microbial etiology and multi-drug resistant profile of the pathogens isolated from children diagnosed of acute otitis media (AOM) at Chukwuemeka Odumegwu Ojukwu University Teaching Hospital, Awka. Method: Ear swab samples were collected aseptically from 40 children that visited the children out-patient clinic of the hospital. The samples were cultured within 20 minutes of collection and the isolates identified microbiologically. Antimicrobial susceptibility testing was done by Kirby-Bauer’s disc diffusion method. Results: A total of 2025 children visited the hospital during the study period and 40 (1.98%) had clinical diagnosis of acute otitis media. Ten (25%) of the 40 samples did not yield any microbial growth. Children aged ≤one year had the highest prevalence of AOM (55%). Staphylococcus aureus (34.9%) was the predominant bacteria isolate followed by Pseudomonas aeruginosa (30.2%) while Candida krusei (14%) was the predominant fungi isolate. All the bacterial isolates were resistant to ampicillin and coamoxiclav. Staphylococcus aureus isolates were marginally susceptible to gentamicin (60%) and sparfloxacin (73.3%). Pseudomonas aeruginosa, Escherichia coli and Staphylococcus aureus were resistant to ceftriaxone, ciprofloxacin, streptomycin, cefuroxime, erythromycin and azithromycin. Nystatin and voriconazole had comparable effect (60%) against the fungal isolates and fluconazole was ineffective. Conclusion: The incidence of multiple antibiotic resistant bacteria associated with acute otitis media in the pediatric patient was very high. Empiric treatment of the infection in the community should be discouraged. AOM preventive strategies should be targeted on the very young children to reduce the risk of recurrence.
Diagnóstico clínico y epidemiológico de la litiasis vesicular. Revisión bibliográfica
Almora Carbonell,Ceramides Lidia; Arteaga Prado,Yanin; Plaza González,Tania; Prieto Ferro,Yulka; Hernández Hernández,Zoraida;
Revista de Ciencias M??dicas de Pinar del R?-o , 2012,
Abstract: se realizó una revisión bibliográfica con el objetivo de profundizar sobre la litiasis vesicular, que es una de las enfermedades más frecuentes diagnosticadas por ultrasonido, incluso, al investigar otras enfermedades. es una enfermedad crónica y multifactorial, con serias implicaciones médicas, sociales y económicas por su elevada frecuencia y complicaciones. se encuentra entre las más frecuentes del aparato digestivo, y su tratamiento (colecistectomía), uno de los actos quirúrgicos abdominales más habituales llevadas a cabo, por lo que es necesario realizar el ultrasonido abdominal, específicamente de la vesícula y las vías biliares a todo paciente con factores de riesgo o síntomas que acuda a la consulta porque la sola presencia de la enfermedad litiásica biliar constituye un peligro para la salud por las complicaciones que puede producir.
Diagnóstico clínico y epidemiológico de la litiasis vesicular. Revisión bibliográfica Clinical and epidemiological diagnosis of bladder stone. Medical literature review
Ceramides Lidia Almora Carbonell,Yanin Arteaga Prado,Tania Plaza González,Yulka Prieto Ferro
Revista de Ciencias M??dicas de Pinar del R?-o , 2012,
Abstract: Se realizó una revisión bibliográfica con el objetivo de profundizar sobre la litiasis vesicular, que es una de las enfermedades más frecuentes diagnosticadas por ultrasonido, incluso, al investigar otras enfermedades. Es una enfermedad crónica y multifactorial, con serias implicaciones médicas, sociales y económicas por su elevada frecuencia y complicaciones. Se encuentra entre las más frecuentes del aparato digestivo, y su tratamiento (colecistectomía), uno de los actos quirúrgicos abdominales más habituales llevadas a cabo, por lo que es necesario realizar el ultrasonido abdominal, específicamente de la vesícula y las vías biliares a todo paciente con factores de riesgo o síntomas que acuda a la consulta porque la sola presencia de la enfermedad litiásica biliar constituye un peligro para la salud por las complicaciones que puede producir.
Cholelithiasis in Children with Sickle Cell Disease in Ouagadougou Pediatric Hospital  [PDF]
Fla Kouéta, Sonia Kaboret, Caroline Yonaba, A?ssata Kaboré, Lassina Dao, Sak-Wend-Tongo Da?la, Hamidou Savadogo, Emile Bandré, Diarra Yé
Open Journal of Pediatrics (OJPed) , 2015, DOI: 10.4236/ojped.2015.53039
Abstract: Introduction: Sickle cell disease (SCD) causes chronic hemolysis which is a risk factor for cholelithiasis. Its development may lead to severe and life-threatening complications. Objective: Determine the prevalence of cholelithiasis, the conditions of diagnosis and related factors. Materials and Method: We retrospectively reviewed records of 110 patients with sickle cell disease followed up in Charles de Gaulle University Pediatric Hospital from January 2003 to December 2013, including 103 patients who had abdominal ultrasonography. Results: Cholelithiasis prevalence was 24.3%. The mean age of patients was 10.8 years, (range 3 to 15 years). Sex ratio was 2.1. In 88% cases, cholelithiasis was diagnosed based on the characteristic symptoms of right hypocondrial pain, fever and icterus. Most factors associated with cholelithiasis were as follows: age above 10 years (OR = 4), occurrence of at least three (03) vaso-occlusive crises per year (OR = 7.6), history of blood transfusion (OR = 8), right hypochondrial pain (OR = 4.5) and icterus (OR = 15). Only 20% of patients suffering from a symptomatic cholelithiasis underwent laparoscopic cholecystectomy and results were conclusive. Conclusion: Patients with sickle cell disease, especially those aged above 10, should be routinely tested for cholelithiasis using abdominal ultrasonography at least once a year. Because of the difficulties in managing evolutive complications in case of an emergency in our context, we advocate laparoscopic cholecystectomy of any cholelithiasisas soon as it is diagnosed in children with sickle cell disease.
Prevalence of Cholelithiasis in Patients with Type 2 Diabetes and Obesity in a Basic Family Health Centre in Irecê, Northeastern Brazil  [PDF]
Sarah Virgínia Dantas Guimar?es, Heldernilson Lopes Eugênio Gomes, Claudio Galindo de Oliveira, Marcus Fabiano Santana Rocha Chiacchio, Fabricio Miranda Souza, Daniel Souza Oliveira, Renata Lima de Cerqueira, Jurandir José Cerqueira Dantas Junior, Denise Rosso Tenório Wanderley Rocha, Alberto Krayyem Arbex
Open Journal of Endocrine and Metabolic Diseases (OJEMD) , 2016, DOI: 10.4236/ojemd.2016.61006
Abstract: Cholelithiasis is a common disease in the general population. One of its risk factors is the type 2diabetes mellitus, related to metabolic abnormalities associated to overweight, obesity, insulin resistance, hypertriglyceridemia and dietary habits.The main risk factors to cholelithiasis aregenetic susceptibility, ileum resection, diabetes mellitus, obesity, hemolytic anemia, age,estrogens and cirrhosis. This study aims to make a correlation between diabetes mellitus and obesity versus prevalence of cholelithiasis in these patients.
Factores de riesgo en la litiasis vesicular: Estudio en pacientes colecistectomizados
Romero Díaz,Carlos A; Barrera Ortega,Juan C; Pascual Chirino,Claudio; Valdés Jiménez,Jesús; Molina Fernández,Eduardo; Rey Hernández,Reidel; González Zayas,Ania; Fernández Olazábal,Luis A;
Revista Cubana de Cirug?-a , 1999,
Abstract: a prospective study of 276 patients admitted and operated on with the diagnosis of cholelithiasis was conducted from december, 1991, to november, 1997. these patients were operated on by our basic working group and most of them were referred by family physicians graduated in our faculty. gallstones were classified into pigment gallstones and cholesterol gallstones according to their macroscopic characteristics on cutting. a survey was done with the possible risk factors. cholesterol gallstones (76.1 %) predominated over the pigment ones. the females prevailed over males in relation of 4:1. the diagnosis of cholelithiasis was determined more frequently in the fourth and fifth decades of life. pigment gallstones were commonly observed at more advanced ages. obesity (39.5 %), diabetes mellitus (19.5 %) and parity (31.8 %) were the main risk factors. therefore, the lithiasis history in first-line relatives as well as the ingestion of oral contraceptives should be taken into account. pigment gallstones predominated in the hemolytic states. it was proved the relationship existing between hyperlipoproteinemias of fractions iib and iv and cholelithiasis. only 34.5 % of the biocultures had bacterial growth. escherichia coli and streptoccocus were the most isolated
Morbimortalidade da colecistectomia em pacientes idosos, operados pelas técnicas laparot?mica, minilaparot?mica e videolaparoscópica
Minossi, José Guilherme;Pican?o, Hémerson César;Carvalho, Marcelo Ant?nio de;Paulucci, Paulo Roberto Vasconcelos;Vendites, Soraya;
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S?o Paulo) , 2007, DOI: 10.1590/S0102-67202007000200006
Abstract: background: cholelithiasis is one of the most frequent diseases regarding the digestive system. it is present in about 20% of the adult population, being age an important predictive factor for complications after cholecystectomy. aim: to evaluate the morbimortality rates concerning elderly patients who underwent cholecystectomy and who are submitted to conventional practices, minilaparotomy and laparoscopy. methods: five hundred and fifty seven patients submitted to cholecystectomy, associated or not to other procedures on the biliary tract, were observed during the period of july 1985 and december 2003. one hundred and fifty two (27,3%) were 60 years or over and 120 (79%) were female. ninety two were submitted to conventional practices, 46 to laparoscopy and 14 to minilaparotomy. results: complications were frequent and serious in elder patients and the ones submitted to conventional practices presented greater incidence of urinary infection, surgical wound infection and a longer time of hospitalization. there were three obits, two of them after conventional surgery and the other after videolaparoscopic surgery. all of the patients were over 70 years old. conclusion: it was possible to conclude that age is an important predictive factor of complications after cholecystectomy as a result of the increase in the incidence of biliary tract disease as well as because of a greater morbidity and mortality in elderly patients resulting from associated diseases.
Duplicación de la vesícula biliar: Vesícula doble de tipo Y operada. Reporte de un caso
ELORZA D,JAVIER; LóPEZ S,SERGIO; ESPINOZA E,BERNARDO; IZQUIERDO M,FRANCISCO; CARRIEL A,VíCTOR;
Revista chilena de cirugía , 2009, DOI: 10.4067/S0718-40262009000300010
Abstract: the duplication of the gallbladder is a rare malformation, seen in one every 3.000 necropsies. it is detected preoperatively by abdominal ultrasound. we report a 28 years oíd female consulting for abdominal pain. an abdominal ultrasound showed the presence of cholelithiasis and a complete septum in the gallbladder lumen. during surgery, a distended and inflamed gallbladder was found with a septum that divided it in two parts, and one biliary stone. there was also a double cystic duct. the pathological study confirmed the gallbladder duplication with inflammation.
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