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Assessment of normal portal vein diameter in children
Insights
Portal vein diameter in children increases with age and body size, with height being the most significant factor. These findings establish normal ranges for pediatric portal vein measurements.
Area of Science:
- Pediatric imaging
- Vascular ultrasonography
- Human growth and development
Background:
- Portal vein diameter in adults is well-documented, but pediatric norms are lacking.
- Understanding normal portal vein dimensions in children is crucial for diagnosing various medical conditions.
- This study addresses the gap in knowledge regarding portal vein caliber in growing Indian children.
Purpose of the Study:
- To establish age, gender, and anthropometric-based standards for normal portal vein diameter in healthy Indian children.
- To investigate the correlation between portal vein diameter and anthropometric parameters in pediatric populations.
- To provide reference values for ultrasonographic assessment of the portal vein in children.
Main Methods:
- Ultrasonographic assessment of portal vein diameter in 306 healthy Indian children (infants to 12 years).
- Children were categorized into ten age groups and further divided by gender.
- Key anthropometric parameters (weight, height, chest circumference) were measured.
Main Results:
- Portal vein diameter shows a significant positive correlation with age, height, weight, and chest circumference.
- No significant gender-based differences were observed in portal vein diameter.
- Height/length was identified as the most consistent and strongest independent determinant of portal vein diameter.
Conclusions:
- The study provides essential normative data for portal vein diameter in Indian children.
- Portal vein diameter is strongly influenced by age and anthropometric variables, particularly height.
- These findings aid in the accurate ultrasonographic evaluation of pediatric portal venous systems.
Background And Aim:
The internal diameter of the portal vein varies with age and anthropometric parameters. The caliber of the normal portal vein in adults has been extensively studied but little is known about portal vein dimensions in the growing child. This study was conducted to establish standards of portal vein diameter by ultrasonography in healthy Indian children based on age, gender and anthropometric parameters.
Methods:
Total 306 healthy children between the age of < 1 month and 12 years, visiting our outpatient departmentor accompanying their siblings were enrolled in the study. The children were distributed into ten age-groups. Each group was further divided in two sub-groups based on gender. Anthropometric parameters including weight, height and chest circumference were measured.Portal vein diameter was assessed by ultrasonography.
Results:
The portal vein diameter increases with age, height, weight and chestcircumference. But the values are similar in boys and girls. Multiple logistic regression (adjusted R- square: 0.922) revealed age (p = 0.002), height/length (p < 0.0001), weight (p = 0.011), and chest circumference (p < 0.0001), as independent determinants of portal vein diameter. However, height/length emerged as the most consistent determinant (coefficient of regression: 1.536; p < 0.001; 95% confidence interval: 0.066-0.092).
Conclusion:
Our results provide a normal range of portal vein diameter according to age, gender and anthropometric parameters. We conclude that portal vein diameter strongly correlates with age and anthropometric variables like height, weight and chestcircumference,with height being the strongest determinant.
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