Telega Grzegorz
Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI 53226-0509, USA.
Curr Gastroenterol Rep. 2006 Apr;8(2):172-6. doi: 10.1007/s11894-006-0015-7.
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.
胆囊运动障碍是小儿无结石性胆绞痛的一个潜在病因。由腹痛（伴或不伴有恶心或脂肪类食物不耐受）、无胆结石以及胆囊收缩素刺激后胆囊排空分数异常低下组成的一组症状和体征用于诊断该疾病。在几个小型儿科病例系列中，胆囊切除术使大多数胆囊运动障碍患者的症状得到改善。然而，胆囊运动障碍的诊断和恰当治疗仍存在争议。本综述讨论了胆囊运动障碍的所谓病理生理学以及有关小儿群体中该疾病诊断和治疗的现有数据。
