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The usefulness of transabdominal ultrasound elastography in Helicobacter pylori gastritis in children

Ulas Emre Akbulut
Ulas Emre Akbulut
, 
Ishak Abdurrahman Isik
Ishak Abdurrahman Isik
, 
Atike Atalay
Atike Atalay
 e 
Mehmet Burak Özkan
Mehmet Burak Özkan
   | 11 mag 2023
Journal of Ultrasonography's Cover Image
INFORMAZIONI SU QUESTO ARTICOLO
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Article Category: Research paper
Pubblicato online: 11 mag 2023
Pagine: e61 - e65
Ricevuto: 13 ott 2022
Accettato: 31 gen 2023
DOI: https://doi.org/10.15557/jou.2023.0012
Parole chiave
© 2023 Ulas Emre Akbulut et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Fig. 1.

A. A seven year-old boy suffering from H. pylori infection underwent strain elastography examination. The strain values obtained from the thickened gastric wall were compared with the stomach surface of the neighboring muscle tissue which was accepted normal. B. Strain value measurement in a healthy 5-year-old volunteer boy. After clinical examination, the patient’s gastric wall was scanned using B-mode sonography and after no thickening has been shown, the color map was obtained and the region of interest was measured. The value was 0.24, which corresponded to normal limits in the healthy volunteer group
A. A seven year-old boy suffering from H. pylori infection underwent strain elastography examination. The strain values obtained from the thickened gastric wall were compared with the stomach surface of the neighboring muscle tissue which was accepted normal. B. Strain value measurement in a healthy 5-year-old volunteer boy. After clinical examination, the patient’s gastric wall was scanned using B-mode sonography and after no thickening has been shown, the color map was obtained and the region of interest was measured. The value was 0.24, which corresponded to normal limits in the healthy volunteer group

Fig. 2.

Comparison of the strain index by transabdominal ultrasound elastography in the groups. The strain index values in H. pylori gastritis, non H. pylori gastritis and control groups were 2.7 (1.8–4.1), 2.2 (1.3–3.2) and 1.4 (0.4–2.4), respectively
Comparison of the strain index by transabdominal ultrasound elastography in the groups. The strain index values in H. pylori gastritis, non H. pylori gastritis and control groups were 2.7 (1.8–4.1), 2.2 (1.3–3.2) and 1.4 (0.4–2.4), respectively

Fig. 3.

Diagnosis of gastritis using the strain index as determined by transabdominal ultrasound elastography
Diagnosis of gastritis using the strain index as determined by transabdominal ultrasound elastography

Fig. 4.

Diagnosis of H. pylori gastritis using the strain index as determined by transabdominal ultrasound elastography in patients with gastritis
Diagnosis of H. pylori gastritis using the strain index as determined by transabdominal ultrasound elastography in patients with gastritis

Comparison of demographic findings and anthropometric measurements in the groups

Group 1 (n = 19) Group 2 (n = 33) Group 3 (n = 37) p value
Age, years 13.8 ± 3.0 13.6 ± 2.7 12.5 ± 2.9 0.166
Gender, n (%) Male 6 (31.6) 14 (42.4) 15 (40.5) 0.728
Female 13 (68.4) 19 (57.6) 22 (59.5)
Weight, kg 50.6 ± 16.8 49.6 ± 14.5 42.8 ± 15.7 0.101
Body mass index, kg/m2 21.1 ± 2.4 20.5 ± 2.0 19.4 ± 2.3 0.215

Univariate and multivariate analyses of factors related to SI by US-EG

Median SI by US-EG Univariate Multivariate
OR (95% Cl) p value OR (95% CI) p value
Age (<12: ≥12, 35:54) 1.9 2.1 1.325 (0.363–2.846) 0,390 1.479(0.591–1.437) 0.541
Gender (M:F, 35:54) 2.0 1.9 1.021 (0.764–1.482) 0.649 1.039 (0.351–1.971) 0.713
BMI (≤85th percentile: ≥85th percentile, 67:22) 2.1 2.0 1.879 (0.526–2.135) 0.435 1.504 (0.434–1.628) 0.616
eISSN:
2451-070X
Lingua:
Inglese
Frequenza di pubblicazione:
4 volte all'anno
Argomenti della rivista:
Medicine, Basic Medical Science, other
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