Fecal calprotectin in the pediatric population: a 2020 update

Fabio CisarÒ1, Antonio Pizzol2, Caterina Rigazio2

  • 1Unit of Pediatric Gastroenterology, Department of Pediatrics, Città della Salute e della Scienza, Turin, Italy - fcisaro@cittadellasalute.to.it.

Minerva Pediatrica
|August 1, 2020
PubMed

Insights

Fecal calprotectin (FC) is a valuable marker for intestinal inflammation, aiding in differentiating organic from non-organic gastrointestinal diseases in children. This review highlights FC

Area of Science:

  • Biochemistry
  • Gastroenterology
  • Pediatrics

Background:

  • Calprotectin, a calcium and zinc-binding protein complex (S100A8/S100A9), is released by neutrophils.
  • Extracellular calprotectin in feces correlates with intestinal inflammation and neutrophil activity.
  • Fecal calprotectin (FC) aids in distinguishing organic from non-organic gastrointestinal disorders.

Purpose of the Study:

  • To review current evidence on the utility of fecal calprotectin in pediatric gastrointestinal disorders.
  • To discuss established indications and future prospects for FC testing in children.
  • To emphasize FC's role in primary care for managing pediatric GI symptoms.

Main Methods:

  • Literature review of studies on fecal calprotectin in children.
  • Analysis of current evidence regarding FC's diagnostic and management applications.
  • Discussion of FC's role in differentiating organic vs. non-organic GI diseases.

Main Results:

  • Increased FC levels are observed in various pediatric conditions including gastroenteritis, microscopic colitis, polyps, malignancies, and cystic fibrosis.
  • FC testing can reduce the need for invasive procedures like colonoscopy by identifying inflammatory origins of GI symptoms.
  • Evidence supports FC's utility in managing pediatric GI disorders, though clear guidelines are still developing.

Conclusions:

  • Fecal calprotectin is a significant non-invasive biomarker for pediatric intestinal inflammation.
  • Incorporating FC into primary care can improve diagnostic accuracy and streamline investigations for GI issues in children.
  • Further research and guideline development are needed to optimize FC's application in pediatric gastroenterology.

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