Also called as gallstones. A disease that appears at any age can affect in the first years of life and in both genders , both in children and adolescents and even in the fetal period. There is a clear predominance in the female sex and although it is a rare disease, with the most precise type of evaluation we find more cases.
It is an obstruction produced in the bile flow, it is the tube through which the bile travels through the liver and leaves it. This obstruction is made up of calculations that cause such obstruction, bile duct infection or pancreatitis.
Why can cholelithiasis occur?
This disease has been related to cases such as obesity and just as with diseases such as hemolytic pathologies, parental nutrition, congenital anomalies of the biliary tract, and with the use of diuretics. It is also common in hemolytic anemias and in prolonged parental nutrition.
Another of the data to highlight is that there is a much greater number in Spain without diagnosing its cause in which it is necessary to start and specify this type of disease would be by asking about personal and family history.
Symptoms that may occur to us
Its form of presentation is usually mainly with the presence of abdominal pain located in the upper right part of the abdomen, in this case It would be to be producing a biliary or hepatic colic. In this case, intense and lasting pain would form and would also be accompanied by nausea and vomiting.
It is much more frequent that the case is not given in this specific way but that the child would come with repetitive and very frequent episodes of abdominal pain, with very heavy digestions and with a poor tolerance of high-fat foods. Jaundice or yellowing of the skin it can also be another of the symptoms.
In all these cases, if a specific evaluation of the diagnosis is not made, serious complications such as cholecystitis (gallbladder superinfection) and / or pancreatitis Acute symptoms characterized by the onset of fever, poor general condition, and increased pain. There may be perforation with the consequent biliary peritonitis.
How is it diagnosed cholelithiasis and what is your prescription
Depending on the type of diagnosis, it will be classified into cases severe or mild:
- In the case of mild ones, It will be characterized by being patients with little symptomatics, only presenting very mild symptoms. In this case the stones will be less than 2 cm (less than 1 cm in very young children). In this case, they can only be prescribed a series of medications that will try to dissolve the stones. This type of prescription is only effective in less than a third of patients.
- When the symptoms are much more significant, in this serious case, or the size of the stones is greater than that of the bile drainage ducts from the gallbladder to the intestine (cystic and common bile ducts), a surgical treatment called cholecystectomy. In this type of technique, the work is done under laparoscopic surgery where the gallbladder and its stones are removed. This technique is usually very effective and precise and means that even the hospital stay can be much shorter (approximately 2-3 days). In addition, your recovery can be much more bearable, even without suffering from painful scars from conventional surgery, in the event that it has been practiced by the other type of route. cholecystectomy (laparoscopic surgery) children can perform a type of surgery normal life in every sense.