Choletithiasis in Children
| Main Authors: | Gustawan, I W; Medical Faculty Udayana University/ Sanglah Hospital, Denpasar, Aryasa, K Nomor; Medical Faculty Udayana University/ Sanglah Hospital, Denpasar, Karyana, IPG; Medical Faculty Udayana University/ Sanglah Hospital, Denpasar, Putra, IGN Sanjaya; Medical Faculty Udayana University/ Sanglah Hospital, Denpasar |
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| Format: | application/pdf eJournal |
| Bahasa: | eng |
| Terbitan: |
Journal of the Indonesian Medical Association
, 2007
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| Online Access: |
http://indonesia.digitaljournals.org/index.php/idnmed/article/view/543 |
Daftar Isi:
- Cholelithiasis in children is rare. There are several conditions associated with cholelithiasis, i.e. chronic hemolytic diseases (sickle cell anemia, spherocytosis), obesity, ileal disease or resection, cystic fibrosis, chronic liver disease, crohnis disease, parenteral nutrition, prematurity with surgical or nonsurgical complication, cancer therapy. The clinical course of cholelitiasis is widely varied, but 80% of them are asymptomatic. The most frequent clinical courses are bilier pain and obstructive jaundice. USG is the first choice in examining child and adolescent with right upper abdominal pain or epigastric pain, since this examination is save and sensitive to identify cholelithiasis. The treatment is including surgical and non surgical therapy, but for symptomatic cholelithiasis, cholecystectomy is the first choice.Keywords: cholelithiasis, cholecystectomy