Gallstones

The treatment of symptomatic gallstones in children is similar to that in adults.  It is only in infants under a year of age that cholelithiasis has been shown to resolve with any frequency.

 

Etiology-Gallstones are idiopathic in most children.  Cholesterol stones are more common than pigment stones.  The incidence is higher in certain defined groups.  Those children receiving total intravenous nutritional support for long periods of time are at higher risk.  Children with sickle cell anemia and other blood dyscrasias have increasing risk of developing gallstones with advancing age that may reach as high as 55% by the teenage years.  Females are affected in a ratio of 4:1.  One study of teenage girls with gallstones revealed that 65% had been or were pregnant at the time of diagnosis.

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