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Cholecystectomy increase
| The first 150 words of the full text of this article appear below. |
At the children's hospital in
Houston, Texas, 36 cholecystectomies were performed in the 20 years up
to 1980. Between 1980 and 1996 there were 128 cholecystectomies of
which 19 were laparoscopic (Darlene M Miltenburg and colleagues.
Pediatrics
2000;195:1250-3). Much of the increase may
have been a consequence of ultrasound diagnosis but there appears to
have been an increase particularly in children whose gallstones were
not secondary to chronic haemolytic diseases. Of the 128 patients, only 29 had no underlying medical condition or risk factor.
Fifty two had chronic haemolysis (31 had sickle cell disease and 16 hereditary spherocytosis). Other associated disorders or risk factors
included gross obesity (8), cystic fibrosis (6), congenital heart
disease (6), total parenteral nutrition as a preterm neonate (6), other
long term use of total parenteral nutrition (4), family history of
gallstones (3), and previous ileal resection (2). Twelve other patients
had miscellaneous serious medical disorders. The average age was 10 years and seven
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