Variability in perioperative evaluation and resource utilization in pediatric patients with suspected biliary dyskinesia: A multi-institutional retrospective cohort study
Author / Expert
Sarah B Cairo, Arturo Aranda, Marisa Bartz-Kurycki, Katherine J Baxter, Patrick Bonasso, Melvin Dassinger, Katherine J Deans, Danielle Dorey, Pamela Emengo, Elizabeth Fialkowski, Christopher Gayer, Brandy Gonzales, Nakada Gusman, Russell B Hawkins, Karen
Topic overview
Abstract
Introduction
Biliary dyskinesia (BD) is a common indication for pediatric cholecystectomy. While diagnosis is primarily based on diminished gallbladder ejection fraction (GB-EF), work-up and management in pediatrics is controversial.
Methods
We conducted a multi-institutional retrospective review of children undergoing cholecystectomy for BD to compare perioperative work-up and outcomes.
Results
Six hundred seventy-eight patients across 16 institutions were included. There was no significant difference in gender, age, or BMI between institutions. Most patients were white (86.3%), non-Hispanic (79.9%), and had private insurance (55.2%). Gallbladder ejection fraction (EF) was reported in 84.5% of patients, and 44.8% had an EF
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