title: Management of symptomatic cholelithiasis while on ketogenic diet: a case report.
abstract: BACKGROUND
  The ketogenic diet is a treatment modality used for patients with refractory epilepsy. Development of cholelithiasis while on the ketogenic diet is a potential side effect that has been described in the literature. There however have not been any reports on the outcomes of continuing the diet after cholecystectomy.
  
  
  METHODS
  We present a 5-year-old boy with history of pharmacologically intractable epilepsy that was well controlled on the ketogenic diet. He underwent laparoscopic cholecystectomy for the development of symptomatic cholelithiasis 12 months after the initiation of ketogenic diet for seizure control.
  
  
  RESULTS
  Patient tolerated the surgery well and was able to continue the ketogenic diet postoperatively.
  
  
  CONCLUSIONS
  There have been no reports describing the continuation of ketogenic diet after cholecystectomy. This child demonstrates the safety of the procedure and the ability to continue the ketogenic diet without further biliary or surgical complications.
authors.affiliation: Department of Surgery, Children's Mercy Hospital, Kansas City, Missouri.
authors.forename: Amita A
authors.initials: AA
authors.lastname: Desai
authors.affiliation: Department of Nutrition, Children's Mercy Hospital, Kansas City, Missouri.
authors.forename: Lindsey M
authors.initials: LM
authors.lastname: Thompson
authors.affiliation: Department of Neurology, Children's Mercy Hospital, Kansas City, Missouri.
authors.forename: Ahmed T
authors.initials: AT
authors.lastname: Abdelmoity
authors.affiliation: Department of Neurology, Children's Mercy Hospital, Kansas City, Missouri.
authors.forename: Husam
authors.initials: H
authors.lastname: Kayyali
authors.affiliation: Department of Surgery, Children's Mercy Hospital, Kansas City, Missouri. Electronic address: sspeter@cmh.edu.
authors.forename: Shawn D
authors.initials: SD
authors.lastname: St Peter
mesh_terms: D002675:Child, Preschool; D017081:Cholecystectomy, Laparoscopic; D002769:Cholelithiasis / Q000178:diet therapy* / Q000503:physiopathology / Q000601:surgery*; D055423:Diet, Ketogenic; D006801:Humans; D008297:Male; D011184:Postoperative Period; D012640:Seizures / Q000178:diet therapy / Q000503:physiopathology
keywords: cholecystectomy; cholelithiasis; ketogenic diet; pediatric