Health Condition 1: null- Children less than 14 years with freshly diagnosed cases of Portal Hypertension confirmed by any of 4 parameters: Clinical/Radiological/Histological or Endoscopically
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: For Patients 1. All consecutive freshly diagnosed cases of Portal Hypertension confirmed by any of 4 parameters: Clinical/Radiological/Histological or Endoscopically 2. Age less than 14 years For controls 1. Age and Sex matched controls 2. Healthy siblings of patients attending OPD/ IPD or patients with minor intercurrent illnesses 3. Children with body mass index within normal percentiles for age & sex
Exclusion criteria
Exclusion criteria: For Patients 1. Splenomegaly because of other etiologies- hematological/storage/infectious disorder 2. Patients of PHTN with splenectomy or after shunt surgery. 3. Patients receiving pharmacotherapy as primary or secondary prophylaxis 4. Patients receiving treatment for underlying liver disease viz., antivirals, steroids, d-penicillamine, anticoagulation etc., 5. Patients too sick to be transported to the SWE suite For Controls 1. Children with liver disease 2. Abnormal gray-scale US imaging 3. Presence of splenomegaly because of any cause
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Ability of Spleen Stiffness Measurement (SSM) using Shear Wave Elastography (SWE) technique to predict the presence of Portal Hypertension and Varices In Children with liver diseases of different etiologiesTimepoint: At time of enrollment | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.To study whether SSM differs according to etiology of Portal Hypertension (Prehepatic, Hepatic And Post Hepatic), in children with liver disease 2.To study whether combining Liver Stiffness with Splenic Stiffness as determined by SWE improves the predictive ability to diagnose Portal Hypertension and Varices, in children with liver diseases 3. To suggest normal values of splenic stiffness determined by SWE in healthy children (controls) Timepoint: At time of enrollment | — |
Countries
India
Contacts
PGIMER