Decision-making patterns in managing children with suspected biliary dyskinesia

doi:10.5409/wjcp.v6.i2.124

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World Journal of Clinical Pediatrics

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2219-2808

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Clin Pediatr. May 8, 2017; 6(2): 124-131
Published online May 8, 2017. doi: 10.5409/wjcp.v6.i2.124

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Figure 1 Questionnaire for pediatric gastroenterologists to assess a case with chronic right upper quadrant pain. EGD: Esophagogastroduodenoscopy; UGI: Upper gastrointestinal; U/S: Ultrasonography; MRI: Magnetic resonance imaging; CCK-CS: Cholecystokininscintigraphy scan; GBEF: Gallbladde rejection fraction; RUQ: Right upper quadrant; NSAIDs: Nonsteroidal anti-inflammatory drugs.

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Figure 2 Investigations for chronic right upper quadrant pain in children. CCK: Cholecystokinin; EGD: Esophagogastroduodenoscopy; MRI: Magnetic resonance imaging; CT: Computed tomography; UGI: Upper gastrointestinal; HIDA: Hepatobiliary iminodiacetic acid.

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Figure 3 Criteria for referral for a surgical evaluation. GBEF: Gallbladder ejection fraction; CCK: Cholecystokinin; RUQ: Right upper quadrant; CCK-CS: Cholecystokinin scintigraphy scan.

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Figure 4 Algorithm for the best practice management approach in children with suspected functional gallbladder disorder (Ref. [1]). FGBD: Functional gallbladder disorder; RUQ: Right upper quadrant; GBEF: Gall bladder ejection fraction; CCK: Cholecystokinin; GERD: Gastroesophageal reflux disease; PPI: Proton pump inhibitor; MRCP: Magnetic resonance cholangipancreatography; ERCP: Endoscopic retrograde cholangipancreatography.

Citation: Nakayuenyongsuk W, Choudry H, Yeung KA, Karnsakul W. Decision-making patterns in managing children with suspected biliary dyskinesia. World J Clin Pediatr 2017; 6(2): 124-131
URL: https://www.wjgnet.com/2219-2808/full/v6/i2/124.htm
DOI: https://dx.doi.org/10.5409/wjcp.v6.i2.124