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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.
Background:
Gastritis consists of inflammation of the gastric mucosa and is one of the main causes of dyspeptic symptoms in children.
Objective:
To investigate the presence of inflammation by evaluating fecal calprotectin (FC) in children diagnosed with chronic gastritis.
Design And Setting:
Descriptive study in Pediatric Gastroenterology Department of Ondokuz Mayis University Hospital in Turkey.
Methods:
Between January 2016 and July 2018, FC levels were compared retrospectively in children with chronic gastritis (histopathology-based diagnosis), patients with inflammatory bowel disease (IBD) and healthy children.
Results:
A total of 67 chronic gastritis patients (61.2% girls) with a mean age of 13.09 ± 3.5 years were evaluated. The mean FC levels were 153.4 μg/g in the chronic gastritis group, 589.7 μg/g in the IBD group and 43.8 μg/g in the healthy group. These levels were higher in chronic gastritis patients than in healthy individuals (P = 0.001) and higher in IBD patients than in the other two groups (P < 0.001). The FC level in the patients with chronic active gastritis (156.3 μg/g) was higher than in those with chronic inactive gastritis (150.95 μg/g) (P = 0.011). Among the patients with chronic active gastritis, the FC level was significantly higher in Helicobacter pylori-positive individuals than in negative individuals (P = 0.031).
Conclusion:
We confirmed the association between increased FC and chronic gastritis. Elevated FC levels may be seen in patients with chronic active gastritis. In order to be able to use FC as a screening tool for chronic gastritis, further studies in a larger study group are needed.
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