Fecal Calprotectin in Pediatric Gastrointestinal Disorders
Diagnostic Value of Fecal Calprotectin in Gastrointestinal Disorders Versus Its Correlation With Endoscopic and Histopathological Findings
研究概览
详细说明
Gastrointestinal symptoms such as chronic abdominal pain, persistent diarrhea, and rectal bleeding are common reasons for referral to pediatric gastroenterology clinics. Distinguishing organic inflammatory disease from functional disorders remains a diagnostic challenge.
Fecal calprotectin is a non-invasive marker of intestinal inflammation. This study will include children aged 2 to 18 years with chronic or recurrent gastrointestinal symptoms who are scheduled for endoscopic evaluation. Fecal calprotectin levels will be measured and compared with endoscopic and histopathological findings to determine diagnostic performance, including sensitivity, specificity, and optimal cutoff values.
研究类型
注册 (估计的)
联系人和位置
学习联系方式
- 姓名:Manar H Mohamed, Resident
- 电话号码:+20 12 23691268
- 邮箱:Manar.18313532@med.aun.edu.eg
参与标准
资格标准
适合学习的年龄
- 孩子
- 成人
接受健康志愿者
取样方法
研究人群
描述
Inclusion Criteria:
- - Age 2 to 18 years
- Chronic gastrointestinal symptoms of more than 4 weeks duration (chronic diarrhea, recurrent abdominal pain, rectal bleeding, unexplained weight loss, or failure to thrive)
- Scheduled for upper gastrointestinal endoscopy and/or ileocolonoscopy with mucosal biopsy
- Written informed consent from parents or legal guardians
Exclusion Criteria:
- Age below 2 years
- Use of NSAIDs, systemic corticosteroids, or antibiotics within 4 weeks before stool sampling
- Documented acute gastrointestinal infection, surgical gastrointestinal bleeding, or intestinal parasitic infestation
- Previous gastrointestinal surgery, known malignancy, chronic liver disease, chronic kidney disease, or cystic fibrosis
- Refusal of parents or legal guardians to participate
- Failure to obtain an adequate stool sample
学习计划
研究是如何设计的?
设计细节
队列和干预
团体/队列 |
|---|
|
Single group: Children with gastrointestinal symptoms undergoing endoscopy
Children aged 2-18 years with chronic or recurrent gastrointestinal symptoms who will undergo fecal calprotectin measurement and endoscopic evaluation with mucosal biopsy as part of routine diagnostic work-up.
|
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Diagnostic performance of fecal calprotectin
大体时间:Baseline
|
Sensitivity, specificity, positive predictive value, negative predictive value, and area under the receiver operating characteristic (ROC) curve of fecal calprotectin for detecting mucosal inflammation, using endoscopic and histopathological findings as the reference standard.
|
Baseline
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Correlation with endoscopic findings
大体时间:Baseline
|
Correlation between fecal calprotectin concentration (µg/g) and endoscopic severity scores (Mayo Endoscopic Subscore or SES-CD).
|
Baseline
|
|
Correlation with histopathological findings
大体时间:Baseline
|
Correlation between fecal calprotectin concentration (µg/g) and histopathological grade of mucosal inflammation.
|
Baseline
|
|
Optimal cutoff value of fecal calprotectin
大体时间:Baseline
|
Optimal cutoff value of fecal calprotectin for detecting mucosal inflammation derived from ROC curve analysis.
|
Baseline
|
合作者和调查者
调查人员
- 学习椅:Zeinab m Mohieldeen, prof、Pediatric Department, Assiut University Hospitals
出版物和有用的链接
一般刊物
- Memish ZA, Zumla A, Madhi SA, Al Rabeeah AA. Novel funding pledges for advancing polio eradication efforts. Lancet. 2024 Jun 29;403(10446):2781-2782. doi: 10.1016/S0140-6736(24)01026-2. No abstract available.
- Dalla Lana Semione G, Vonk V, Pandey AD, Granas E, Arndt B, Wenskat M, Hillert W, Noei H, Stierle A. Temperature-dependent near-surface interstitial segregation in niobium. J Phys Condens Matter. 2021 May 24;33(26). doi: 10.1088/1361-648X/abf9b7.
- Rohani P, Beheshti NR, Alimadadi H, Sohouli MH. Association of fecal calprotectin level with eosinophilic gastrointestinal disease in Iranian pediatrics. Allergy Asthma Clin Immunol. 2022 Sep 30;18(1):86. doi: 10.1186/s13223-022-00728-5.
- Moreira RT, Rodrigues LARL, Farias LM, Crisostomo JM, Lavor LCC, Rodrigues Filho OS, Frota KMG. Effect of vitamin D supplementation on depression treatment. Rev Assoc Med Bras (1992). 2021 Aug;67(8):1192-1197. doi: 10.1590/1806-9282.20210404. No abstract available.
研究记录日期
研究主要日期
学习开始 (估计的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.