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dc.creatorHarris D,Paul
dc.creatorChateau I,Bernardita
dc.creatorMiquel P,Juan Francisco
dc.creatorZavala B,Alejandro
dc.creatorMontes C,Patricio
dc.creatorHerrera V,José Miguel
dc.creatorZúñiga R,Sergio
dc.creatorLarraín B,Francisco
dc.creatorSantos M,Marcela
dc.creatorContador M,Mónica
dc.date2003-01-01
dc.date.accessioned2020-02-17T15:29:28Z
dc.date.available2020-02-17T15:29:28Z
dc.identifierhttps://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000100006
dc.identifier.urihttps://revistaschilenas.uchile.cl/handle/2250/128522
dc.descriptionBackground: The use of ultrasonography increased the frequency of diagnosis of cholelithiasis in childhood. Aim: To determine the clinical and laboratory features and follow up of children with biliary stones. Patients and methods: Twenty six children (13 male, aged 1 month to 14 years) were prospectively enrolled. Results: Nine children had a past medical history of factors potentially predisposing to stones. A clinical presentation with vomiting (50%), abdominal pain (46%) and jaundice (23%) was the most common indication for surgery. The diagnosis was based on abdominal ultrasound in all children. Cholecystectomy was performed in 15 children (laparoscopy in 13 and open surgery in 2). Children who underwent surgery were older than those who did not undergo surgery (p <0.001), but they did not have differences in liver function tests. Eight children had pigmented stones and seven had cholesterol stones. Conclusions: In our patients, neither family history nor laboratory tests were useful in the diagnosis as well as in the clinical decision of surgery, which was based on symptoms. The presence of cholesterol stones in a high proportion of these children may be a unique situation in Chile, considering the high prevalence of this disease in the adult population (Rev Méd Chile 2003; 131: 37-45)
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dc.languagees
dc.publisherSociedad Médica de Santiago
dc.relation10.4067/S0034-98872003000100006
dc.rightsinfo:eu-repo/semantics/openAccess
dc.sourceRevista médica de Chile v.131 n.1 2003
dc.subjectBiliary tract diseases
dc.subjectCholelithiasis
dc.subjectLaparoscopy
dc.subjectLaparotomy
dc.titleLitiasis biliar en niños: un estudio clínico-morfológico


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