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Swallow gallstones for children and treatment

 Gallstones in children Gallstones are stone-like bodies that form in the gallbladder, and they may vary greatly in size, shape, and cohesion, and consist of the adhesion of substances that make up the bile, which are present in the gallbladder, to each other, which forms solid bodies that resemble stones, and to understand the matter more, it is imperative to understand the matter more. From knowing that the gallbladder is a small organ located below the liver in the upper right part of the abdomen, and its function is to store the bile that the liver produces to digest fats.

Types of gallstones in children:

There are several types of gallstones, and the types of gallstones that may appear in children include the following:

 Black pigment stones:
  
It is most common in children, and is formed as a result of the accumulation of a very large amount of bilirubin in the bile, and bilirubin is a substance produced by the natural breakdown of red blood cells.

 Calcium carbonate stones:

It is considered common in children, while it is considered a rare type in adults, and cholesterol stones are the most common type in adults. They are formed as a result of mixing of bile with cholesterol, then hardening it, and stones formed from protein, which are the least common types of gallstones in children.



Causes of gallstones in children:

 Although there is no direct cause for the formation of gallstones in children, there are some factors that increase the risk of their occurrence, including:

  • Having a hereditary blood disease. Such as sickle cell anemia or spherocytosis.
  • A family history of gallstones.
  •  Being obese, or losing weight quickly.
  •  Take some medications.
  • Gender, as females are more likely to develop gallstones than males.
  • Problems with the production of red blood cells.
  • Not eating for long periods of time as a result of a disease.
  • Getting nutrition only through a vein for a long time, or what is known as parenteral nutrition.
  •  The baby is born before the due date and has a lower weight than normal.
  • Expose the child to a spinal injury.
  •  Previous abdominal surgery for the child.


Treatment of gallstones in children:

 Most cases of gallstones may not cause any health problems in patients, but in the event that they lead to a blockage of one of the ducts, or if they are accompanied by the appearance of symptoms on the affected child, this usually requires treatment regardless of the cause that led to that, and the treatment is to remove the gallbladder And, either through surgery or endoscopy, and after cholecystectomy, the liver resorts to emptying bile directly into the intestine.


Laparoscopic cholecystectomy:

Laparoscopic surgery, also known as minimally invasive surgery, consists of making four small incisions in the abdomen, inserting a thin tube equipped with a light, camera and necessary surgical tools through it, then the gallbladder is removed and removed from one of the incisions, and this operation is done under the influence of general anesthesia, and before the operation it may prescribe The doctor has painkillers to control symptoms until the operation is performed, and it is indicated that the option to remove the gallbladder by laparoscopic surgery allows the child to recover after the operation faster and comfortably.


Cholecystectomy by open surgery:

Some rare cases require the exclusion of endoscopy, and the resort to an open surgery to remove the gallbladder, by making an incision under the ribs, and this is in the following cases:

  1.  The presence of inflammation.
  2.  The presence of bleeding. Scarring from a previous surgery.
  3. The presence of anatomical problems in the common bile duct.

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