Fecal calprotectin levels used as a noninvasive method for screening for chronic gastritis in pediatric patients. A

Fatma Demirbaş1, Gönül Çaltepe2, Hasan Abbasguliyev3

  • 1MD. Physician, Department of Pediatric Gastroenterology, Hepatology and Nutrition, Ondokuz Mayis University Faculty of Medicine, Samsun, Turkey.

Insights

Fecal calprotectin (FC) levels are elevated in children with chronic gastritis, indicating inflammation. Higher FC levels were observed in active gastritis, especially with H. pylori infection, suggesting FC

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Diagnostics
  • Inflammatory Markers

Background:

  • Gastritis, characterized by gastric mucosa inflammation, is a common cause of dyspeptic symptoms in children.
  • Evaluating inflammatory markers is crucial for understanding pediatric gastritis.
  • Fecal calprotectin (FC) is a known marker for intestinal inflammation.

Purpose of the Study:

  • To investigate the presence of inflammation in children diagnosed with chronic gastritis by assessing fecal calprotectin (FC) levels.
  • To compare FC levels in children with chronic gastritis, inflammatory bowel disease (IBD), and healthy controls.
  • To explore the correlation between FC levels and gastritis activity, including Helicobacter pylori status.

Main Methods:

  • A retrospective descriptive study was conducted in a Pediatric Gastroenterology Department.
  • Fecal calprotectin (FC) levels were analyzed in children with histopathologically confirmed chronic gastritis, IBD patients, and healthy children.
  • Statistical comparisons were performed to evaluate differences in FC levels among the groups and within the chronic gastritis cohort.

Main Results:

  • Children with chronic gastritis exhibited significantly higher FC levels (153.4 μg/g) compared to healthy children (43.8 μg/g).
  • FC levels were highest in the IBD group (589.7 μg/g), followed by chronic gastritis and healthy controls.
  • Elevated FC levels were associated with chronic active gastritis and were significantly higher in H. pylori-positive patients with active gastritis.

Conclusions:

  • The study confirms a significant association between elevated fecal calprotectin (FC) and chronic gastritis in children.
  • Increased FC levels may indicate active gastritis, particularly in cases of H. pylori infection.
  • Further research with larger cohorts is warranted to establish FC as a reliable screening tool for pediatric chronic gastritis.
Abstract