Table 1 Characteristics of patients with intrahepatic bile duct (IHD) stones (n = 21).
From: Risk factors for postoperative stone formation in pediatric choledochal cysts: a study of 457 cases
N = 21 | |
|---|---|
Male:female | 5:16 |
Clinical presentation at diagnosis of IHD stones | |
Cholangitis (abdominal pain and fever) | 9 (43.0%) |
Asymptomatic | 8 (38.1%) |
Abdominal pain | 3 (14.3%) |
Liver abscess | 1 (4.8%) |
Age at choledochal cyst excision (months) | |
Neonate (age ≤ 30 days) | 2 (9.5%) |
Infants (age ≤ 1 year) | 0 |
Children (age ≥ 1 year) | 19 (90.5%) |
Preoperative intervention | 8 (38.1%, ERCP (n = 7), PTBD (n = 1)) |
Age at choledocholithiasis diagnosis (years, range) | 17.4 ± 6.2 (4.5–33.6) |
Time from operation to stone occurrence (months, range) | 122.2 ± 70.6(18.6–277.1) |
Follow-up duration (months, range) | 41.8 ± 47.9 (2.2–155.9) |
Outcome | |
Symptoms: Persisting/resolved/no symptom | 5 (one with mild symptoms)/15/1 (23.8%/71.4%/4.8%) |
Residual stone: large stones/small stones/no residual stone | 3/9/7 |
Follow-up loss | 1 (4.8%) |
Plan | |
Observation (small stones > clear) | 4 (19.0%) |
Regular follow-up (clear > small stones) | 8 (38.1%) |
Medical treatment | 1 (4.8%) |
Planning PTCS | 4 (19.0%) |
Planning endoscopic HJ | 2 (9.5%) |