The significance of biliary sludge in children with sickle cell disease |
| |
Authors: | A. H. Al-Salem S. Qaisruddin |
| |
Affiliation: | (1) Division of Pediatric Surgery, Department of Surgery, Qatif Central Hospital, Qatif, Saudi Arabia, SA |
| |
Abstract: | The prevalence of cholelithiasis was studied prospectively by abdominal ultrasound (US) examination in 305 children with sickle cell disease aged 1–18 years (mean 10.45). Gallstones were present in 60 children (19.7%); an additional 50 had biliary sludge only (16.4%). On follow-up of 35 of the 50 children with sludge, 23 (65.7%) had developed gallstones and 5 had already had a cholecystectomy. Five continued to have sludge on follow-up while 7 were reported to have no sludge. Children with US evidence of sludge should be followed up regularly by US, and those who develop gallstones should undergo elective cholecystectomy. For those with biliary sludge only, we recommend elective cholecystectomy if there are hepatobiliary symptoms. Accepted: 16 December 1996 |
| |
Keywords: | Sickle cell disease Cholelithiasis Biliary sludge Children |
本文献已被 SpringerLink 等数据库收录! |
|