Variability in perioperative evaluation and resource utilization in pediatric patients with suspected biliary dyskinesia: A multi-institutional retrospective cohort study.

Document Type

Article

Publication Date

6-1-2019

Identifier

DOI: 10.1016/j.jpedsurg.2019.02.049; PMCID: PMC6822378

Abstract

INTRODUCTION: Biliary dyskinesia (BD) is a common indication for pediatric cholecystectomy. While diagnosis is primarily based on diminished gallbladder ejection fraction (GB-EF), work-up and management in pediatrics is controversial.

METHODS: We conducted a multi-institutional retrospective review of children undergoing cholecystectomy for BD to compare perioperative work-up and outcomes.

RESULTS: Six hundred seventy-eight patients across 16 institutions were included. There was no significant difference in gender, age, or BMI among institutions. Most patients were white (86.3%), non-Hispanic (79.9%), and had private insurance (55.2%). Gallbladder ejection fraction (EF) was reported in 84.5% of patients, and 44.8% had an EF

CONCLUSION: There is significant variability in evaluation and follow-up both before and after cholecystectomy for BD. Prospective research with standardized data collection and follow-up is needed to develop and validate optimal care pathways for pediatric patients with suspected BD.

STUDY TYPE: Case Series, Retrospective Review.

LEVEL OF EVIDENCE: Level IV.

Journal Title

Journal of pediatric surgery

Volume

54

Issue

6

First Page

1118

Last Page

1122

MeSH Keywords

Biliary Dyskinesia; Cholecystectomy; Perioperative Care; Child; Treatment Outcome

Keywords

Biliary dyskinesia; Cholecystectomy; Functional gallbladder disorder; Gastroenterology; Pediatric surgery; Gall Bladder Surgery

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