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. M., Fike, F. B., Gasior, A. C., Cusick, R., Brownie, E., St Peter, S. D., Azarow, K. S. Multi-institutional analysis of long-term symptom resolution after cholecystectomy for biliary dyskinesia in children. Pediatric surgery international 29, 1243-1247 (2013).