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Is 14 the new 40: trends in gallstone disease and cholecystectomy in Australian children

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Abstract

Backgrounds

Gallstone disease and cholecystectomy have been uncommon in paediatric patients and associated with haemolytic disease and prematurity. Many countries have observed an increase in the prevalence of paediatric gallstones and cholecystectomy with increasing childhood obesity. The purpose of this study was to determine any trend in prevalence in Australian children and the role of obesity.

Methods

Chart review was conducted for patients undergoing cholecystectomy under 18 in 25 years between 1992 and 2016. Patients were grouped based on year of operation into five groups of 5 years each. Patient demographics including age and gender were noted, as were weight, height, and percentiles. Also noted were comorbidities, indication for surgery, whether elective or emergent, and procedure performed. Statistical analysis was performed using logistic regression on R-Studio®.

Results

Seventy-nine patients were included, 9, 15, 18, 18, and 19 in Groups 1–5, respectively. A trend was noted of increasing frequency which did not reach statistical significance. Nineteen patients had alternative explanations for gallstone disease, decreasing over time, coefficient − 10.5. A trend was also noted of increasing proportion of patients in higher percentiles for weight, which was statistically significant for those above the 98th percentile.

Conclusions

The changing profile of paediatric cholecystectomy is a little recognised aspect of the ‘obesity epidemic’. This has implications when considering the impact of childhood overweight and obesity, and for clinicians involved in the diagnosis and management of these children.

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Authors and Affiliations

  1. The Canberra Hospital, Canberra, ACT, Australia

    Douglas Greer, Sean Heywood, David Croaker & Siva Gananadha

  2. Australian National University, Canberra, ACT, Australia

    David Croaker & Siva Gananadha

  3. 77 Garden St, Alexandria, NSW, 2015, Australia

    Douglas Greer

Authors
  1. Douglas Greer
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  2. Sean Heywood
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  3. David Croaker
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  4. Siva Gananadha
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Correspondence to Douglas Greer.

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Approval was obtained from the Canberra Hospital Low Risk Ethics Committee.

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Greer, D., Heywood, S., Croaker, D. et al. Is 14 the new 40: trends in gallstone disease and cholecystectomy in Australian children. Pediatr Surg Int 34, 845–849 (2018). https://doi.org/10.1007/s00383-018-4300-y

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  • DOI: https://doi.org/10.1007/s00383-018-4300-y

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