Faecal calprotectin in children with chronic gastrointestinal symptoms

Alan Bremner1, Sohere Roked, Rebecca Robinson

  • 1Southampton General Hospital, Southampton, United Kingdom. ronaldbremner@hotmail.com

Insights

Faecal calprotectin is a useful marker for identifying inflammatory bowel disease in children with chronic intestinal symptoms. Elevated levels suggest an organic bowel disorder, necessitating further investigation.

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Chemistry
  • Biomarker Research

Background:

  • Inflammatory bowel disease (IBD) diagnosis in children presents challenges.
  • Faecal calprotectin is a known indicator of intestinal inflammation.

Observation:

  • This study evaluated faecal calprotectin levels in 100 children aged 5-17 with chronic intestinal symptoms.
  • Tests were performed using a commercially available assay.

Findings:

  • Faecal calprotectin levels were significantly higher in children with IBD compared to healthy children or those with functional constipation (p<0.0001).
  • The test demonstrated 85% specificity for organic bowel disorders.
  • Calprotectin correlated with C-reactive protein and disease activity in ulcerative colitis, but not Crohn's disease.

Implications:

  • Raised faecal calprotectin in children with chronic intestinal symptoms warrants further diagnostic assessment for organic bowel disorders.
  • While valuable, faecal calprotectin is not a definitive test for idiopathic inflammatory bowel disease.
Abstract

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