Gallstones in Children Can Be Managed
The increasing use of sonography has resulted in an increase in the proportion of children with gallstones who are asymptomatic at the time of diagnosis. In adults, the literature supports expectant management of clinically silent gallstones. The evidence for this management approach in children is limited to a number of small series. Data published in the Journal of Pediatric Gastroenterology & Nutrition suggest that clinically silent gallstones in children and infants are associated with low rates of complications and can be managed conservatively, unless complications occur. Patients with sickle cell disease, spherocytosis and elliptocytosis had high complication rates and required surgery more often.
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