Biliary dyskinesia in pediatrics. Curr Gastroenterol Rep 2006 Apr;8(2):172-6
Date
03/15/2006Pubmed ID
16533482DOI
10.1007/s11894-006-0015-7Scopus ID
2-s2.0-33645554970 (requires institutional sign-in at Scopus site) 12 CitationsAbstract
Biliary dyskinesia is a potential cause for acalculous biliary colic in pediatric patients. A triad of symptoms and signs, consisting of abdominal pain (with or without associated nausea or fatty food intolerance), absence of gallstones, and an abnormally low cholecystokinin-stimulated gallbladder ejection fraction is used to diagnose the disorder. In several small pediatric case series, cholecystectomy resulted in symptomatic improvement in a majority of patients with biliary dyskinesia. However, the diagnosis of biliary dyskinesia and appropriate management remain controversial. This review discusses the purported pathophysiology of biliary dyskinesia and the data available regarding diagnosis and treatment of this entity in the pediatric population.
Author List
Telega GAuthor
Grzegorz W. Telega MD Professor in the Pediatrics department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Abdominal PainBiliary Dyskinesia
Case-Control Studies
Child
Humans
Retrospective Studies
Treatment Outcome