Desai Amita A, Thompson Lindsey M, Abdelmoity Ahmed T, Kayyali Husam, St Peter Shawn D
Department of Surgery, Children's Mercy Hospital, Kansas City, Missouri.
Department of Nutrition, Children's Mercy Hospital, Kansas City, Missouri.
Pediatr Neurol. 2014 Sep;51(3):439-40. doi: 10.1016/j.pediatrneurol.2014.05.013. Epub 2014 May 21.
The ketogenic diet is a treatment modality used for patients with refractory epilepsy. Development of cholelithiasis while on the ketogenic diet is a potential side effect that has been described in the literature. There however have not been any reports on the outcomes of continuing the diet after cholecystectomy.
We present a 5-year-old boy with history of pharmacologically intractable epilepsy that was well controlled on the ketogenic diet. He underwent laparoscopic cholecystectomy for the development of symptomatic cholelithiasis 12 months after the initiation of ketogenic diet for seizure control.
Patient tolerated the surgery well and was able to continue the ketogenic diet postoperatively.
There have been no reports describing the continuation of ketogenic diet after cholecystectomy. This child demonstrates the safety of the procedure and the ability to continue the ketogenic diet without further biliary or surgical complications.
生酮饮食是用于难治性癫痫患者的一种治疗方式。文献中已描述了生酮饮食期间发生胆石症是一种潜在的副作用。然而，尚无关于胆囊切除术后继续该饮食的结果的任何报告。
我们报告一名5岁男孩，有药物难治性癫痫病史，其癫痫在生酮饮食中得到良好控制。在开始生酮饮食以控制癫痫发作12个月后，他因出现有症状的胆石症接受了腹腔镜胆囊切除术。
患者对手术耐受良好，术后能够继续生酮饮食。
尚无描述胆囊切除术后继续生酮饮食的报告。该患儿证明了该手术的安全性以及继续生酮饮食而无进一步胆道或手术并发症的能力。
