Multi-institutional analysis of long-term symptom resolution after cholecystectomy for biliary dyskinesia in children.
PURPOSE: Current literature for resolution of abdominal pain after cholecystectomy in children with biliary dyskinesia shows variable outcomes. We sought to compare early outcomes with long-term symptom resolution in children.
METHODS: Telephone surveys were conducted on children who underwent cholecystectomy for biliary dyskinesia between January 2000 and January 2011 at two centers. Retrospective review was performed to obtain demographics and short-term outcomes.
RESULTS: Charts of 105 patients' age 7.9-19 years were reviewed; 80.9 % were female. All were symptomatic with an ejection fraction (EF) <35 >% or pain with cholecystokinin administration. At the postoperative visit, 76.1 % had resolution of symptoms. Fifty-six (53.3 %) patients were available for follow-up at median 3.7 (1.1-10.7) years. Of these, 34 (60.7 %) reported no ongoing abdominal pain. Of the 22 patients with persistent symptoms, satisfaction score was 7.3 ± 2.7 (scale of 1-10) and 19 (86.4 %) were glad that they had a cholecystectomy performed. EF, body mass index percentile (BMI %), and pain with cholecystokinin (CCK) were not predictive of ongoing pain at either follow-up periods.
CONCLUSION: Short-term symptom resolution in children undergoing cholecystectomy for biliary dyskinesia is not reflective of long-term results. Neither EF, BMI % nor pain with CCK was predictive of symptom resolution. The majority of patients with ongoing complaints do not regret cholecystectomy.
Pediatric surgery international
Abdominal Pain; Adolescent; Adult; Biliary Dyskinesia; Body Mass Index; Child; Cholecystectomy; Female; Follow-Up Studies; Humans; Male; Patient Satisfaction; Postoperative Period; Treatment Outcome; Young Adult
Gall Bladder Surgery
Knott, E Marty; Fike, Frankie B.; Gasior, Alessandra C.; Cusick, Robert; Brownie, Evan; St Peter, Shawn D.; and Azarow, Kenneth S., "Multi-institutional analysis of long-term symptom resolution after cholecystectomy for biliary dyskinesia in children." (2013). Manuscripts, Articles, Book Chapters and Other Papers. 746.