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- Title
Multi-institutional analysis of long-term symptom resolution after cholecystectomy for biliary dyskinesia in children.
- Authors
Knott, E. Marty; Fike, Frankie B.; Gasior, Alessandra C.; Cusick, Robert; Brownie, Evan; St. Peter, Shawn D.; Azarow, Kenneth S.
- Abstract
Purpose: Current literature for resolution of abdominal pain after cholecystectomy in children with biliary dyskinesia shows variable outcomes. We sought to compare early outcomes with long-term symptom resolution in children. Methods: Telephone surveys were conducted on children who underwent cholecystectomy for biliary dyskinesia between January 2000 and January 2011 at two centers. Retrospective review was performed to obtain demographics and short-term outcomes. Results: Charts of 105 patients’ age 7.9–19 years were reviewed; 80.9 % were female. All were symptomatic with an ejection fraction (EF) <35 % or pain with cholecystokinin administration. At the postoperative visit, 76.1 % had resolution of symptoms. Fifty-six (53.3 %) patients were available for follow-up at median 3.7 (1.1–10.7) years. Of these, 34 (60.7 %) reported no ongoing abdominal pain. Of the 22 patients with persistent symptoms, satisfaction score was 7.3 ± 2.7 (scale of 1–10) and 19 (86.4 %) were glad that they had a cholecystectomy performed. EF, body mass index percentile (BMI %), and pain with cholecystokinin (CCK) were not predictive of ongoing pain at either follow-up periods. Conclusion: Short-term symptom resolution in children undergoing cholecystectomy for biliary dyskinesia is not reflective of long-term results. Neither EF, BMI % nor pain with CCK was predictive of symptom resolution. The majority of patients with ongoing complaints do not regret cholecystectomy.
- Subjects
MULTIHOSPITAL systems; SYMPTOMS; CHOLECYSTECTOMY; DYSKINESIAS; HEALTH outcome assessment; PHYSIOLOGICAL effects of cholecystokinin
- Publication
Pediatric Surgery International, 2013, Vol 29, Issue 12, p1243
- ISSN
0179-0358
- Publication type
Article
- DOI
10.1007/s00383-013-3343-3