Abstract | BACKGROUND/PURPOSE: METHODS: All patients less than 18 years old with hereditary spherocytosis who underwent splenectomy without cholecystectomy at our institution during the past 27 years were included in this study. A retrospective chart review and telephonic patient follow-up was performed. Gallstones were excluded in these patients either by preoperative ultrasound scan, or by intraoperative palpation of the gallbladder. The main study outcomes of this group included documented cases of cholelithiasis, subsequent need for cholecystectomy secondary to cholelithiasis, and questionnaire to determine the incidence of "subclinical" cholelithiasis (not reported to a physician). RESULTS: Twenty-three subjects were identified who met the inclusion criteria. Complete follow-up data were obtained for 17 of these patients (74%). The mean age at splenectomy was 6.6 +/- 0.69 years, and the mean follow-up was 15.65 +/- 2.03 years (median, 18 years). None of the patients in this series subsequently have undergone cholecystectomy, nor have any had either clinical or subclinical evidence of cholelithiasis since splenectomy. CONCLUSION:
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Authors | A Sandler, G Winkel, K Kimura, R Soper |
Journal | Journal of pediatric surgery
(J Pediatr Surg)
Vol. 34
Issue 7
Pg. 1077-8
(Jul 1999)
ISSN: 0022-3468 [Print] United States |
PMID | 10442593
(Publication Type: Comparative Study, Journal Article)
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Topics |
- Adolescent
- Child
- Child, Preschool
- Cholecystectomy
(methods, statistics & numerical data)
- Cholelithiasis
(epidemiology, etiology, prevention & control, surgery)
- Elective Surgical Procedures
- Evaluation Studies as Topic
- Female
- Follow-Up Studies
- Humans
- Incidence
- Male
- Prognosis
- Retrospective Studies
- Risk Factors
- Sensitivity and Specificity
- Spherocytosis, Hereditary
(complications, diagnosis, surgery)
- Splenectomy
(methods)
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