Introduction: The incidence of gallstones in children has increased in recent years. While some patients are admitted with the complaint of gallstone complications, the majority of patients are admitted with complaint of unspecified abdominal pain. The treatment of gallstones is still controversial. This study aims to investigate the impact of risk factors on gallstone complications and to identify surgical indications for gallstones.
Methods: Patients who were operated in the pediatric surgery clinic of Sakarya University, Faculty of Medicine between October 2011 and July 2017 were evaluated. Data including age and sex, body mass index (BMI), associated risk factors, gallstone-induced complications, postoperative complications, and pathological results were recorded.
Results: Thirty-six patients were included in the study. The mean age was 13.2 years with a female-to-male ratio of 2.27:1. Obesity was the most common risk factor. A total of 44% of the patients experienced a complication on admission. The risk factors had no effect on the complications (p=0.846). All patients underwent cholecystectomy. The pathology results of 94.5% of the patients who were operated were reported as chronic cholecystitis.
Conclusion: The incidence of gallstones increase in parallel with the risk factors. However, the risk factors have no influence on gallstone-induced complications. In our study, most patients who underwent surgery had signs of chronic cholecystitis. Therefore, we believe that patients who have recurrent abdominal pain and gallstone should also undergo surgical treatment.