{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:44:12Z","timestamp":1777527852717,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T00:00:00Z","timestamp":1758672000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>Gallstones are sometimes detected as a cause of a clinical finding in children and sometimes incidentally. This study aimed to investigate the demographic and clinical characteristics of pediatric patients with gallstones. Pediatric cases diagnosed with gallstones between 2017 and 2023 in a tertiary hospital were retrospectively examined. A total of 65 patients were included in the study. The mean age of the cases was 10.8 \u00b1 5.3 years, and 44 (67.7%) were adolescents. The most common complaint of the cases was abdominal pain (60%), and 33.8% were diagnosed incidentally. Obesity was the most frequently identified cause (26.2%) and was significantly higher in adolescents. Forty-five (69.2%) cases were symptomatic, and 10 (15.3%) were complicated. This study found that the frequency of gallstones in children increases with age, and that the underlying cause is likely to be obesity as age increases. Clinicians should avoid medications that may cause gallstones in obese adolescents.<\/jats:p>","DOI":"10.1177\/00099228251372717","type":"journal-article","created":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T07:24:53Z","timestamp":1758698693000},"page":"1726-1732","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of Pediatric Cases With Cholelithiasis: 5-Year Single-Center Experience"],"prefix":"10.1177","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1334-071X","authenticated-orcid":false,"given":"Hilal","family":"Koyuncu","sequence":"first","affiliation":[{"name":"Department of Child Health and Diseases, Afyonkarahisar University of Health Sciences Faculty of Medicine, Afyonkarahisar, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5389-2220","authenticated-orcid":false,"given":"Ay\u015fe Tolunay","family":"Oflu","sequence":"additional","affiliation":[{"name":"Department of Child Health and Diseases, Afyonkarahisar University of Health Sciences Faculty of Medicine, Afyonkarahisar, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ay\u015fe","family":"G\u00fcng\u00f6r","sequence":"additional","affiliation":[{"name":"Department of Child Health and Diseases, Afyonkarahisar University of Health Sciences Faculty of Medicine, Afyonkarahisar, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ay\u015feg\u00fcl","family":"B\u00fck\u00fclmez","sequence":"additional","affiliation":[{"name":"Department of Child Health and Diseases, Afyonkarahisar University of Health Sciences Faculty of Medicine, Afyonkarahisar, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,9,24]]},"reference":[{"issue":"6","key":"e_1_3_2_2_2","first-page":"559","article-title":"Biliary lithiasis with choledocolithiasis in children","volume":"110","author":"B\u0103l\u0103nescu RN","year":"2015","unstructured":"B\u0103l\u0103nescu RN, B\u0103l\u0103nescu L, Dr\u0103gan G, Moga A, Caraga\u0163\u0103 R. Biliary lithiasis with choledocolithiasis in children. Chirurgia (Bucur). 2015;110(6):559-561.","journal-title":"Chirurgia (Bucur)"},{"key":"e_1_3_2_3_2","first-page":"1","volume-title":"Gallstones-Review and Recent Progress","author":"Shaikh NM.","year":"2021","unstructured":"Shaikh NM. Gall stones in pediatric population. In: Yan Q, Shen H, eds. Gallstones-Review and Recent Progress. London: IntechOpen; 2021:1-11."},{"key":"e_1_3_2_4_2","first-page":"2502","volume":"2024","author":"Suchy FJ","unstructured":"Suchy FJ, Feldman AG. Diseases of the Gallbladder. 22 ed. vol Chapter 414. 2024:2502-2504.","journal-title":"Diseases of the Gallbladder"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.13105\/wjma.v9.i1.54"},{"key":"e_1_3_2_6_2","first-page":"1045","volume-title":"Sleisenger and Fordtran\u2019s Gastrointestinal and Liver Disease","author":"Suchy FJ","unstructured":"Suchy FJ. Anatomy, histology, embryology, developmental anomalies, and pediatric disorders of the biliary tract. In: Feldman M, ed. Sleisenger and Fordtran\u2019s Gastrointestinal and Liver Disease. Amsterdam, the Netherlands: Elsevier; 2010:1045-1066."},{"key":"e_1_3_2_7_2","first-page":"885","volume-title":"Pediatric Gastrointestinal and Liver Disease","author":"Fishman FCLADS","unstructured":"Fishman FCLADS. Diseases of the gallbladder. In: Wyllie R, Hyams JS, Kay MMD, eds. Pediatric Gastrointestinal and Liver Disease. 6th ed. Amsterdam, the Netherlands: Elsevier; 2021:885-896.","edition":"6"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2016.02.017"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40477-019-00362-9"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13312-019-1535-1"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2013.11.053"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.4103\/jiaps.JIAPS_107_20"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.07.043497"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0b013e31823a897d"},{"issue":"2","key":"e_1_3_2_15_2","first-page":"112","article-title":"Risk factors and management problems in non-hemolytic cholelithiasis in children","volume":"28","author":"Embleton DB","year":"2017","unstructured":"Embleton DB, B\u00fck\u00fclmez A, Y\u0131lmaz S, Tuncer AA, \u00c7etinkur\u015fun S. Risk factors and management problems in non-hemolytic cholelithiasis in children. Gazi Med J. 2017;28(2):112-114.","journal-title":"Gazi Med J"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.5152\/tjg.2014.3907"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.13235"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/MEG.0000000000000726"},{"issue":"4","key":"e_1_3_2_19_2","first-page":"411","article-title":"Clinical presentations and predisposing factors of cholelithiasis and sludge in children","volume":"31","author":"Wesdorp I","year":"2000","unstructured":"Wesdorp I, Bosman D, de Graaff A, Aronson D, van der Blij F, Taminiau J. Clinical presentations and predisposing factors of cholelithiasis and sludge in children. J Pediatr Gastroenterol Nutr. 2000;31(4):411-417.","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13312-018-1320-6"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinre.2023.102204"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijms232113376"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1111\/fcp.12577"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jiac.2019.05.020"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13304-021-01227-9"},{"issue":"5","key":"e_1_3_2_26_2","first-page":"588","article-title":"Cholelithiasis in childhood: a cohort study in north of Iran","volume":"23","author":"Dooki MR","year":"2013","unstructured":"Dooki MR, Norouzi A. Cholelithiasis in childhood: a cohort study in north of Iran. Iran J Pediatr. 2013;23(5):588-592.","journal-title":"Iran J Pediatr"}],"container-title":["Clinical Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228251372717","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00099228251372717","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228251372717","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:34:24Z","timestamp":1777394064000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00099228251372717"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,24]]},"references-count":25,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1177\/00099228251372717"],"URL":"https:\/\/doi.org\/10.1177\/00099228251372717","relation":{},"ISSN":["0009-9228","1938-2707"],"issn-type":[{"value":"0009-9228","type":"print"},{"value":"1938-2707","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,24]]}}}