Biliary dyskinesia in сhildren

Biliary dyskinesia in children is a rather controversial diagnosis in the pediatric population, as there are no standardized pediatric diagnostic criteria and treatment. Аim - to summarize data from the literature regarding risk factors, clinical manifestations, diagnosis, and treatment of biliary dyskinesia in children. This article presents an overview of current diagnostic strategies and treatment outcomes using both surgical and non-surgical approaches. The only diagnostic method for biliary dyskinesia in both adults and children is cholecystokinin-stimulated cholecyntygraphy. At the same time, there is no standard, validated method for assessing gallbladder motility in children. Despite the lack of high-quality evidence supporting this practice, cholecystectomy remains a commonly used treatment method. The outcomes regarding the prognostic value of medical treatment have been evaluated in studies with small sample sizes, and none of them has been accepted as the "gold standard" of therapy. Conclusions. The diagnosis and treatment of biliary dyskinesia are challenging due to the combination of vague and diverse symptoms and the absence of definitive, unified diagnostic criteria in the pediatric population. The authors declare no conflict of interest.