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Online Publishing Date:
14 / 11 / 2022

 


Cholelithiasis in children: A prospective clinical study in a tertiary care hospital in Western Odisha

Sanjay Kujur, Swaraj Sambit Samal, Ananda Seba Tirky, Harish Chandra Dhamudia, P Rajkumar Subudhi, Martin Tom Simon, Saroja Dash.


Abstract
Background: Cholelithiasis in children was reported about three centuries back and remained relatively uncommon in the past but now it is evolving and ever-increasing in frequency. We aimed to study the clinical presentation, predisposing factors, and treatment outcome of cholelithiasis in children in western Odisha.
Methodology: The present prospective study was conducted on 38 patients less than 18 years old, with ultrasound proved cholelithiasis. Data were reviewed concerning patient demographic profile, clinical history including risk factors, imaging studies, operative techniques, postoperative complications, and treatment outcome.
Results: 38 children (14 boys and 24 girls) with cholelithiasis were evaluated and treated during the study period and the mean age was 14.25±3.01 years (range 5 to 18 years). 44.73% of children (n = 17) belonged to rural backgrounds and the rest to urban setups, and 23(60.52%) of patients belonged to the Hindu religion. In 63.15% of patients, no risk factor could be traced. 73.68% of children had multiple gallstones. 28(73.68%) patients underwent laparoscopic cholecystectomy. The average duration of hospital stay was 4.42 days. No major intraoperative or postoperative complications could be detected.
Conclusions: In this region of the country most of the children had no risk factors identified for cholelithiasis. Girls with middle socioeconomic status and urban areas belonging to the Hindu religion were more affected by the disease. In view of the high incidence of serious complications of gallstones in children and because of longer life expectancy we also recommend that expectant management of gallstones may not be safe and hence laparoscopic cholecystectomy must be done even in asymptomatic cholelithiasis.

Key words: Cholelithiasis, Childhood, Laparoscopic cholecystectomy, Outcome


 
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How to Cite this Article
Pubmed Style

Kujur S, Samal SS, Tirky AS, Dhamudia HC, Subudhi PR, Simon MT, Dash S. Cholelithiasis in children: A prospective clinical study in a tertiary care hospital in Western Odisha. Int J Med Rev Case Rep. 2022; 6(22): 71-76. doi:10.5455/IJMRCR.172-1666986339

Web Style

Kujur S, Samal SS, Tirky AS, Dhamudia HC, Subudhi PR, Simon MT, Dash S. Cholelithiasis in children: A prospective clinical study in a tertiary care hospital in Western Odisha. https://www.mdpub.net/?mno=302656902 [Access: April 05, 2024]. doi:10.5455/IJMRCR.172-1666986339

AMA (American Medical Association) Style

Kujur S, Samal SS, Tirky AS, Dhamudia HC, Subudhi PR, Simon MT, Dash S. Cholelithiasis in children: A prospective clinical study in a tertiary care hospital in Western Odisha. Int J Med Rev Case Rep. 2022; 6(22): 71-76. doi:10.5455/IJMRCR.172-1666986339


Vancouver/ICMJE Style

Kujur S, Samal SS, Tirky AS, Dhamudia HC, Subudhi PR, Simon MT, Dash S. Cholelithiasis in children: A prospective clinical study in a tertiary care hospital in Western Odisha. Int J Med Rev Case Rep. (2022), [cited April 05, 2024]; 6(22): 71-76. doi:10.5455/IJMRCR.172-1666986339


Harvard Style

Kujur, S., Samal, . S. S., Tirky, . A. S., Dhamudia, . H. C., Subudhi, . P. R., Simon, . M. T. & Dash, . S. (2022) Cholelithiasis in children: A prospective clinical study in a tertiary care hospital in Western Odisha. Int J Med Rev Case Rep, 6 (22), 71-76. doi:10.5455/IJMRCR.172-1666986339


Turabian Style

Kujur, Sanjay, Swaraj Sambit Samal, Ananda Seba Tirky, Harish Chandra Dhamudia, P Rajkumar Subudhi, Martin Tom Simon, and Saroja Dash. 2022. Cholelithiasis in children: A prospective clinical study in a tertiary care hospital in Western Odisha. International Journal of Medical Reviews and Case Reports, 6 (22), 71-76. doi:10.5455/IJMRCR.172-1666986339


Chicago Style

Kujur, Sanjay, Swaraj Sambit Samal, Ananda Seba Tirky, Harish Chandra Dhamudia, P Rajkumar Subudhi, Martin Tom Simon, and Saroja Dash. "Cholelithiasis in children: A prospective clinical study in a tertiary care hospital in Western Odisha." International Journal of Medical Reviews and Case Reports 6 (2022), 71-76. doi:10.5455/IJMRCR.172-1666986339


MLA (The Modern Language Association) Style

Kujur, Sanjay, Swaraj Sambit Samal, Ananda Seba Tirky, Harish Chandra Dhamudia, P Rajkumar Subudhi, Martin Tom Simon, and Saroja Dash. "Cholelithiasis in children: A prospective clinical study in a tertiary care hospital in Western Odisha." International Journal of Medical Reviews and Case Reports 6.22 (2022), 71-76. Print. doi:10.5455/IJMRCR.172-1666986339


APA (American Psychological Association) Style

Kujur, S., Samal, . S. S., Tirky, . A. S., Dhamudia, . H. C., Subudhi, . P. R., Simon, . M. T. & Dash, . S. (2022) Cholelithiasis in children: A prospective clinical study in a tertiary care hospital in Western Odisha. International Journal of Medical Reviews and Case Reports, 6 (22), 71-76. doi:10.5455/IJMRCR.172-1666986339


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