Rothstein David H, Harmon Carroll M
Department of Pediatric Surgery, Women and Children׳s Hospital of Buffalo, 219 Bryant St, Buffalo, New York 14222; Department of Surgery, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York.
Department of Pediatric Surgery, Women and Children׳s Hospital of Buffalo, 219 Bryant St, Buffalo, New York 14222; Department of Surgery, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York.
Semin Pediatr Surg. 2016 Aug;25(4):225-31. doi: 10.1053/j.sempedsurg.2016.05.005. Epub 2016 May 11.
Biliary disease in children has changed over the past few decades, with a marked rise in incidence-perhaps most related to the parallel rise in pediatric obesity-as well as a rise in cholecystectomy rates. In addition to stone disease (cholelithiasis), acalculous causes of gallbladder pain such as biliary dyskinesia, also appear to be on the rise and present diagnostic and treatment conundrums to surgeons.
在过去几十年里,儿童胆道疾病发生了变化,发病率显著上升——这可能与儿童肥胖率的同步上升最为相关——胆囊切除术的比例也在上升。除了结石病(胆石症),胆囊疼痛的非结石性病因,如胆囊运动障碍,似乎也在增加,给外科医生带来了诊断和治疗难题。