COLELITÍASE EM CRIANÇAS E ADOLESCENTES: UM ESTUDO RETROSPECTIVO EM UM HOSPITAL TERCIÁRIO DA PARAÍBA

Abstract

Introduction: Pediatric choleitis is asymptomatic. The main risk factors related to female adolescents include genetic reasons, use of ceftriaxone and being overweight. Objective: To describe the clinical-epidemiological procedure of children and adolescents undergoing cholecystectomy in a tertiary public hospital located in Paraíba. Methodology: Retrospective quantitative study, composed of children and adolescents who underwent laparoscopic cholecystectomy in a pediatric hospital. Patients undergoing cholecystectomy for causes other than cholelithiasis were excluded. Data were collected through medical records, obtaining a sample of 59 patients. The variables analysed were gender, age, method of admission (urgent or elective) and length of stay, being evaluated according to weight. The Mann–Whitney test was applied to compare weight medians, adopting p < 0.05 as significant. Results: The median weight by sex was 60 kg (IQ: 49-69.5) in females and 61 kg (IQ 49-67) in males, 78% (46) of patients were female and 22% (13) male. The average age was 13.5 years, with 88.1% (52) adolescents and 11.9% (7) children, the median weight of adolescents was 62 kg (IQ 53.5-70.5) and children weighing 28 kg (IQ 20.5-30.5), p<0.01. The median overall weight was 60 kg (IQ: 49-69 kg), 67.8% (40) of patients had weight above the 75th percentile and 32.2% (16) had normal weight. Of the 40 patients who were overweight, 87.5% (35) were adolescents and 80% (32) were female. Overweight children and adolescents were those who most underwent elective laparoscopic cholecystectomy (82.5%, n=33), and consequently had shorter hospital stays (75%, n=30). Conclusion: For this sample, weight was high, being statistically significant when compared by age. The profile of children and adolescents affected by cholelithiasis for this study was girls, adolescents who were overweight for their age.