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Revista Médica de Risaralda
Print version ISSN 0122-0667
Abstract
VARGAS RODRIGUEZ, Ledmar et al. Prevalence of obesity and cholelithiasis in pediatric patients of San Rafael hospital de Tunja during the years 2010-2019. Revista médica Risaralda [online]. 2021, vol.27, n.2, pp.8-20. Epub Mar 11, 2022. ISSN 0122-0667.
Objective:
To determine the prevalence of overweight in pediatric patients with cholelithiasis treated at the San Rafael de Tunja hospital during the years 2010 - 2019.
Materials and methods:
This is an observational, descriptive, cross-sectional, and retrospective study, in which the characteristics of cholelithiasis were evaluated in patients under 18 years of age. Sociodemographic, clinical, imaging, and therapeutic variables were evaluated.
Results:
84 clinical records of patients diagnosed with cholelithiasis were reviewed in a period between 2010 to 2019. A percentage of 69.1% were female and 30.9% were male. The average age of the patients was 15.07 years, the prevalence of overweight was 35.7%, and 21.4% was obesity. The most frequent manifestations were nausea (85.71%), vomiting (84.52%), and Murphy's sign positive (83.33%). In 76% of the patients, the gallstones were unique since these had an average size of 7.45 mm (with a minimum of 1 mm and a maximum of 25 mm). 26.1% of the patients received conservative treatment while 73.8% of them were treated by surgery. From these, 50% of the cases were treated by open surgery and the rest by laparoscopic procedure, of which 2.43% required intraoperative conversion. Finally, the most common complications presented were liver abscess in 2.38% and pancreatitis in 4.76% of the patients.
Conclusions:
More than the half of children with cholelithiasis were obese (21.4%) and overweight (35.7%), which indicates a public health problem that leads to an increased health risk in this population since they are susceptible to a large set of pathologies associated with this comorbidity.
Keywords : Obesity; cholelithiasis; risk factors.