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Scholars Journal of Applied Medical Sciences | Volume-1 | Issue-06
Clinicodemographic Study and Treatment Planning of Cholelithiasis in Children: A 5 Years Experience in Tertiary Hospital, Dhaka, Bangladesh
Dr. Shoheli Alam, Dr. A. M. Shahinoor, Dr. MD. Nazrul Islam
Published: Dec. 31, 2013 |
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511
DOI: 10.36347/sjams.2013.v01i06.0101
Pages: 1133-1137
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Abstract
Background: Cholelithiasis in children is relatively rare but has been increasingly recognized in recent years due to improved diagnostic techniques like ultrasound. Gallstones are hardened deposits of digestive fluid, primarily bile, that can form in the gallbladder. The condition in children may have different causes and clinical presentations than in adults. Objectives: The aim of the study was to evaluate the management of cholelithiasis in children: A 5 years single centre experience. Methods: This study was performed in the Paediatric Surgery Department of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh from January'2008 to December'2012. All patients after admitting were diagnosed clinically by history and laboratory investigation. Radiologically, only by ultrasography (USG) of hepatobilliary system was performed. All patients were treated by elective cholecystectomy by open method. Statistical analyses of the results were be obtained by using window-based Microsoft Excel and Statistical Packages for Social Sciences (SPSS-22). Results: Among the 31 patients, male was 19(61.3%) and female was 12 (38.7%) patients. Male: Female was 1.6:1. Age ranged (4-16) years and mean were 9.08+ 2.98. 61% patients were ranged from 11years to 16 years. Etiology of gall stone in children mostly (73%) was idiopathic. Most (45.2%) of the patients presented with right upper quardent (RUQ) pain. Conclusion: Owing to development of diagnostic tools, recently increasing cholelithiasis in children. So, our study was to review the cholelithiasis in children and treatment plan. In our study most of the causes of Cholelithiasis in children was idiopathic. Male predominace found in children in contrary to adult where female was predominant.