Pathologic changes in biliary dyskinesia

Evan Brownie, Robert A. Cusick, Deborah A. Perry, Sandra Allbery, Kenneth Azarow

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Purpose: For children with upper abdominal pain and evaluation for acalculous biliary disease, laparoscopic cholecystectomy is an accepted treatment with inconsistent outcomes. The purpose of this study was to identify predictors of outcomes. Methods: One hundred sixty-seven children underwent laparoscopic cholecystectomy at a single children's hospital. Radiographic findings, histopathology, family history, and demographics (sex, age, height, weight, body mass index-for-age percentile) were evaluated as predictors of postoperative symptomatic resolution using a binomial probability model. The data for radiologic studies and pathologic specimens were obtained via re-review in a blinded fashion. Results: Of 167 children, 43 (25.7%) had a preoperative diagnosis of biliary dyskinesia and 41 (95.3%) had documented follow-up. Mean follow-up was 8.4 months. Twenty-eight patients (68.3%) had symptom resolution. Ejection fraction less than or equal to 15%, pain upon cholecystokinin injection, and a family history of biliary disease were not predictors of symptomatic resolution. Nonoverweight patients (body mass index-for-age

Original languageEnglish (US)
Pages (from-to)879-882
Number of pages4
JournalJournal of Pediatric Surgery
Volume46
Issue number5
DOIs
StatePublished - May 2011
Externally publishedYes

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Biliary Dyskinesia
Laparoscopic Cholecystectomy
Body Mass Index
Cholecystokinin
Statistical Models
Abdominal Pain
Demography
Weights and Measures
Pain
Injections

Keywords

  • Acalculous biliary disease
  • Biliary dyskinesia
  • Laparoscopic cholecystectomy

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this

Pathologic changes in biliary dyskinesia. / Brownie, Evan; Cusick, Robert A.; Perry, Deborah A.; Allbery, Sandra; Azarow, Kenneth.

In: Journal of Pediatric Surgery, Vol. 46, No. 5, 05.2011, p. 879-882.

Research output: Contribution to journalArticle

Brownie, E, Cusick, RA, Perry, DA, Allbery, S & Azarow, K 2011, 'Pathologic changes in biliary dyskinesia', Journal of Pediatric Surgery, vol. 46, no. 5, pp. 879-882. https://doi.org/10.1016/j.jpedsurg.2011.02.021
Brownie, Evan ; Cusick, Robert A. ; Perry, Deborah A. ; Allbery, Sandra ; Azarow, Kenneth. / Pathologic changes in biliary dyskinesia. In: Journal of Pediatric Surgery. 2011 ; Vol. 46, No. 5. pp. 879-882.
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