Is there a place for medical treatment in children with gallstones?

J Pediatr Surg. 1997 Mar;32(3):476-8. doi: 10.1016/s0022-3468(97)90610-2.

Abstract

Background: Medical treatment of gallstones with ursodeoxycholic acid (UDCA) or chenodeoxycholic acid (CDCA) has not been evaluated in children.

Aim: The purpose of this study was to assess the effectiveness of UDCA in the treatment of gallstones in children.

Methods: UDCA was used to treat 15 patients, (7 boys and 8 girls; mean age, 7.8 years; range, 3 months to 15 years) for 1 year. All had radiolucent stones with a maximum diameter of 10 mm and a normally contractile gallbladder.

Results: The stones disappeared completely in two children but returned later. All symptomatic patients became symptom free.

Conclusion: UDCA is ineffective in the treatment of gallstones in children except in terms of relieving symptoms while on treatment.

MeSH terms

  • Adolescent
  • Age of Onset
  • Child
  • Child, Preschool
  • Cholagogues and Choleretics / therapeutic use*
  • Cholelithiasis / drug therapy*
  • Female
  • Humans
  • Infant
  • Male
  • Retrospective Studies
  • Treatment Outcome
  • Ursodeoxycholic Acid / therapeutic use*

Substances

  • Cholagogues and Choleretics
  • Ursodeoxycholic Acid