Biliary Tract Disease in Pediatric Surgery Department: 10 Years Experience in Khouzestan-IRAN

Introduction and The aim of this study was to evaluate clinical manifestation, and outcome of biliary tract disease in patients that referred for treatment in two referral centers of pediatric surgery of Ahvaz. Patients and This retrospective study was done in Imam Khomeini and Abuzar hospitals, two referral centers for pediatric surgery in Ahvaz. Duration of study was 10 years starting from 1st March 2000. Patients who admitted due to biliary tract disease were included in this study. Age, sex, clinical manifestation, type of surgery, imaging finding, laboratory finding, duration of hospital staying, blood product infusion, and mortality rate were recorded. Data were entered to SPSS Ver 13.0( Chicago, IL,USA). Chi-square and t-test were used for comparison. Twenty cases (m=13, f=7) of biliary atresia were included in this study. Mean of age at time of diagnosis and operation was 82.11 days (30 days- 6.5 months). Jaundice (100%), acholic stool (55%), and dark brown urine(55%) were the most frequent clinical manifestation in patients with biliary atresia. Of all cases, 17 patients underwent surgery. Eighteen cases (m=11, f=7) of cholecystitis were included in this study. Abdominal pain (72%) is the most frequent sign. Eleven cases underwent surgery. Five cases of choledochal cyst (m=0, f=5) were included in this study. Abdominal pain and vomiting is the most common clinical manifestation in cases with choledocal cyst. Jaundice, acholic stool, and dark brown urine were the most frequent clinical manifestation in cases with biliary atresia. Mean age at the time of diagnosis and operation for BA cases was 82.11 days (30 days- 6.5 months). Abdominal pain was the most frequent sign of cholecystitis. Early referral and increasing experiences are recommended to increase survival for BA cases in our hospital