Advertisement
Correspondence| Volume 57, ISSUE 10, P485-486, October 2022

Difficult gall bladder in adolescents with cystic fibrosis and symptomatic cholelithiasis: What is the best treatment choice?

  • Author Footnotes
    1 ORCID n°: Dr Boscarelli 0000-0003-1934-1764;
    Alessandro Boscarelli
    Correspondence
    Corresponding author at: Department of Pediatric Surgery and Urology, Institute for Maternal and Child Health - IRCCS “Burlo Garofolo”, via dell'Istria, 65/1, 34137 Trieste (TS), Italy.
    Footnotes
    1 ORCID n°: Dr Boscarelli 0000-0003-1934-1764;
    Affiliations
    Department of Pediatric Surgery and Urology, Institute for Maternal and Child Health, IRCCS “Burlo Garofolo”, Trieste, Italy
    Search for articles by this author
  • Author Footnotes
    2 ORCID n°: Dr Schleef 0000-0001-9754-2479
    Jürgen Schleef
    Footnotes
    2 ORCID n°: Dr Schleef 0000-0001-9754-2479
    Affiliations
    Department of Pediatric Surgery and Urology, Institute for Maternal and Child Health, IRCCS “Burlo Garofolo”, Trieste, Italy

    Chief of Surgical Department, Institute for Maternal and Child Health, IRCCS “Burlo Garofolo”, Trieste, Italy
    Search for articles by this author
  • Author Footnotes
    1 ORCID n°: Dr Boscarelli 0000-0003-1934-1764;
    2 ORCID n°: Dr Schleef 0000-0001-9754-2479
Published:April 21, 2022DOI:https://doi.org/10.1016/j.jpedsurg.2022.04.013
Difficult gall bladder in adolescents with cystic fibrosis and symptomatic cholelithiasis: What is the best treatment choice?
Previous ArticleNeonatal gastric perforation and non invasive mechanical ventilation
Next ArticleLetter to Editor in response to: CT scans for pediatric injury in a middle-income country trauma center: Are we repeating past mistakes?
      Gallbladder disease (GBD) has become increasingly common in children. Established risk factors for GBD in childhood include hemolytic disease; ileal resections; obesity; cystic fibrosis; and the use of parenteral nutrition, ceftriaxone, and oral contraceptives. Notably, patients with cystic fibrosis (CF) face an increased risk of developing a wide range of CF-related conditions, including a significantly greater odds ratio for conditions such as cholelithiasis [
      • Miller A.C.
      • Comellas A.P.
      • Hornick D.B.
      • et al.
      Cystic fibrosis carriers are at increased risk for a wide range of cystic fibrosis-related conditions.
      Proc Natl Acad Sci U S A. 2020; 117 (Jan 21Epub 2019 Dec 27. PMID: 31882447; PMCID: PMC6983448): 1621-1627https://doi.org/10.1073/pnas.1914912117
      ,
      • Doud A.
      • Bond L.
      • Downard C.
      • et al.
      Management of complicated biliary disease in the pediatric population.
      Surgery. 2022; 171 (MarEpub 2021 Nov 27. PMID: 34844759): 736-740https://doi.org/10.1016/j.surg.2021.09.041
      ]. Furthermore, surgeons should be aware of the high possibility of encountering a difficult gallbladder operation in these patients.

      Abbreviations:

      GBD (gallbladder disease), CF (cystic fibrosis), LC (laparoscopic cholecystectomy), SLC (subtotal laparoscopic cholecystectomy)
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Pediatric Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Register: Create an account
      Institutional Access: Sign in to ScienceDirect

      References

        • Miller A.C.
        • Comellas A.P.
        • Hornick D.B.
        • et al.
        Cystic fibrosis carriers are at increased risk for a wide range of cystic fibrosis-related conditions.
        Proc Natl Acad Sci U S A. 2020; 117 (Jan 21Epub 2019 Dec 27. PMID: 31882447; PMCID: PMC6983448): 1621-1627https://doi.org/10.1073/pnas.1914912117
        View in Article
        • Doud A.
        • Bond L.
        • Downard C.
        • et al.
        Management of complicated biliary disease in the pediatric population.
        Surgery. 2022; 171 (MarEpub 2021 Nov 27. PMID: 34844759): 736-740https://doi.org/10.1016/j.surg.2021.09.041
        View in Article
        • Ramírez-Giraldo C.
        • Alvarado-Valenzuela K.
        • Isaza-Restrepo A.
        • et al.
        Predicting the difficult laparoscopic cholecystectomy based on a preoperative scale.
        Updates Surg. 2022; (Feb 4Epub ahead of print. PMID: 35122205)https://doi.org/10.1007/s13304-021-01216-y
        View in Article
        • Purzner R.H.
        • Ho K.B.
        • Al-Sukhni E.
        • et al.
        Safe laparoscopic subtotal cholecystectomy in the face of severe inflammation in the cystohepatic triangle: a retrospective review and proposed management strategy for the difficult gallbladder.
        Can J Surg. 2019 Dec 1; 62 (PMID: 31782296; PMCID: PMC6877394): 402-411https://doi.org/10.1503/cjs.014617
        View in Article
        • Toro A.
        • Teodoro M.
        • Khan M.
        • et al.
        Subtotal cholecystectomy for difficult acute cholecystitis: how to finalize safely by laparoscopy-a systematic review.
        World J Emerg Surg. 2021; 16 (Sep 8PMID: 34496916; PMCID: PMC8424983): 45https://doi.org/10.1186/s13017-021-00392-x
        View in Article

      Article info

      Publication history

      Published online: April 21, 2022
      Accepted: April 13, 2022
      Received: April 7, 2022

      Identification

      DOI: https://doi.org/10.1016/j.jpedsurg.2022.04.013

      Copyright

      © 2022 Elsevier Inc. All rights reserved.

      ScienceDirect

      Access this article on ScienceDirect
      We use cookies to help provide and enhance our service and tailor content. To update your cookie settings, please visit the for this site.
      Copyright © 2023 Elsevier Inc. except certain content provided by third parties. The content on this site is intended for healthcare professionals.


      RELX