Self-reported Outcomes After Cholecystectomy for Pediatric Hyperkinetic Biliary Dyskinesia.
BACKGROUND: Biliary dyskinesia (BD) is a common indication for cholecystectomy in children. Current literature demonstrates an improvement in symptoms after cholecystectomy in most pediatric patients with an EF65%) is sparse. We sought to determine whether children with hyperkinetic BD (HBD) had resolution of their symptoms after laparoscopic cholecystectomy at our institution.
MATERIALS AND METHODS: We conducted a retrospective chart review of children who had undergone laparoscopic cholecystectomy for HBD at our institution between September 2010 and July 2015. Patients completed a phone survey about symptom resolution, whether they were happy to have undergone cholecystectomy, overall satisfaction on a 1-10 scale, and additional workup for those with ongoing pain. Analysis was performed using STATA statistical software with a P-value < 0.05 as statistically significant.
RESULTS: Thirteen patients met inclusion criteria. Median gallbladder ejection fraction was 93% [IQR: 90, 97]. Median postoperative follow-up was 59 d [IQR: 25, 151] at which time 50% reported resolution of symptoms. Eight patients participated in the survey at a median follow-up of 45 mo [IQR: 40, 66]. Fifty percent reported ongoing abdominal pain. Frequency of pain varied among patients with pain, occurring from(63%), including one patient with ongoing pain, were happy that their gallbladder had been removed and overall satisfaction rating was 5 on a scale of 1-10.
CONCLUSIONS: Only half of children with HBD were asymptomatic at long-term follow-up. Cholecystectomy for HBD may or may not improve symptoms.
The Journal of surgical research
Abdominal Pain; Adolescent; Biliary Dyskinesia; Cholecystectomy, Laparoscopic; Female; Follow-Up Studies; Gallbladder; Humans; Male; Pain Measurement; Pain, Postoperative; Patient Reported Outcome Measures; Patient Satisfaction; Retrospective Studies; Self Report; Time Factors; Treatment Outcome
Gallbladder ejection fraction; Hyperkinetic biliary dyskinesia
Dekonenko C, Sujka JA, Dorman RM, Oyetunji TA, St Peter SD. Self-reported Outcomes After Cholecystectomy for Pediatric Hyperkinetic Biliary Dyskinesia. J Surg Res. 2020;246:73-77. doi:10.1016/j.jss.2019.06.088