Variability in perioperative evaluation and resource utilization in pediatric patients with suspected biliary dyskinesia: A multi-institutional retrospective cohort study.
DOI: 10.1016/j.jpedsurg.2019.02.049; PMCID: PMC6822378
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 of pediatric surgery
Biliary Dyskinesia; Cholecystectomy; Perioperative Care; Child; Treatment Outcome
Biliary dyskinesia; Cholecystectomy; Functional gallbladder disorder; Gastroenterology; Pediatric surgery; Gall Bladder Surgery
Cairo SB, Aranda A, Bartz-Kurycki M, et al. Variability in perioperative evaluation and resource utilization in pediatric patients with suspected biliary dyskinesia: A multi-institutional retrospective cohort study. J Pediatr Surg. 2019;54(6):1118-1122. doi:10.1016/j.jpedsurg.2019.02.049