Evaluation of celiac artery blood flow in children with chronic active gastritis
Abstract
Purpose: Knowledge on gastric blood flow in children with chronic gastritis is scarce. In this study, we aimed to evaluate hemodynamic changes of the celiac artery (CA), in children with chronic gastritis assessed using trans-abdominal duplex Doppler ultrasonography.
Methods: We examined 36 children (group 1) with chronic active gastritis (diagnosed by endoscopy and histology) and 28 asymptomatic control children (group 2) with duplex Doppler ultrasonography. Children with chronic gastritis were classified again according to the severity of inflammation and the presence of Helicobacter pylori infection. Mean peak systolic velocity (PSV), enddiastolic velocity (EDV), resistive index (RI), and pulsatility index (PI) of the CA were compared.
Results: The mean PSV and the mean EDV were significantly lower in patients than in controls (p<0.001). The mean PI and the mean RI were significantly higher in the patient group than in the controls (p<0.001). In addition, mean PSV was significantly lower in patients with H. pylori than in patients without H. pylori (p<0.05).
Conclusions: In this first study, children with chronic active gastritis were associated with a decrease in CA flow velocities that could be seen on Doppler ultrasonography. Doppler ultrasonography can be used in preliminary diagnostic work-up before further invasive tests.
Keywords
Doppler ultrasonography, celiac artery, gastritis, children, helicobacter pylori
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