<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0016-3503</journal-id>
<journal-title><![CDATA[Gen]]></journal-title>
<abbrev-journal-title><![CDATA[Gen]]></abbrev-journal-title>
<issn>0016-3503</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Venezolana de Gastroentereología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0016-35032025000100038</article-id>
<article-id pub-id-type="doi">10.61155/gen.v79i1.730</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Elastografía esplénica en niños con cavernomatosis de la porta]]></article-title>
<article-title xml:lang="en"><![CDATA[Splenic Elastography in Pediatric Patients with Portal Cavernomatosis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Malavé]]></surname>
<given-names><![CDATA[Maritza]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Colina]]></surname>
<given-names><![CDATA[Nina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dagher]]></surname>
<given-names><![CDATA[Lucy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz]]></surname>
<given-names><![CDATA[Maygreg]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Caracas  ]]></institution>
<addr-line><![CDATA[Caracas ]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Caracas  ]]></institution>
<addr-line><![CDATA[Caracas ]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Caracas  ]]></institution>
<addr-line><![CDATA[Caracas ]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Caracas  ]]></institution>
<addr-line><![CDATA[Caracas ]]></addr-line>
<country>Venezuela</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<volume>79</volume>
<numero>1</numero>
<fpage>38</fpage>
<lpage>43</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://ve.scielo.org/scielo.php?script=sci_arttext&amp;pid=S0016-35032025000100038&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://ve.scielo.org/scielo.php?script=sci_abstract&amp;pid=S0016-35032025000100038&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://ve.scielo.org/scielo.php?script=sci_pdf&amp;pid=S0016-35032025000100038&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  La cavernomatosis portal, generalmente secundaria a la trombosis de la vena porta, provoca hipertensión portal que conlleva a sangramiento digestivo.  Objetivo:  Evaluar la utilidad de la elastografía esplénica en niños con diagnóstico de cavernomatosis de la porta.  Pacientes y Métodos:  Investigación de campo, cuasi experimental, prospectivo, longitudinal, muestra 10 pacientes.  Resultados:  El 100% estrato socioeconómico III. Ambos sexos frecuencia 50%, adolescentes (tempranos y tardíos) 50% cada grupo, promedio 14,8 años (rango 14 17 años DE +/- 1,03 años). 100% peso superior a 36 kg, promedio 45,51 Kg (rango 35-58 kg, DE +/- 9,17 kg), 80% talla mayor a 1,45 m, promedio 1,55 m (rango1,35-1,8 m DE +/- 0,13 m), IMC 50% los rangos bajo y normal, el 100% perímetro torácico mayor de 75 cm. 100% con várices esofágicas grandes, 100% niveles mayores 45 KPa en elastografía esplénica, 80% trombocitopenia moderada, 100% F0 de fibrosis hepática, el 90% esteatosis hepática S0. 100% flujo portal bajo y esplenomegalia, 40% entre 80 y 100 KPa en elastografía hepática.  Conclusiones:  La elastografía esplénica en pediatría es útil reportando IQR/MED promedio 2,52 KPa, el resultado &gt; 45 KPa es un parámetro no invasivo funciona como predictor de riesgo de presentar varices esofágicas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Portal cavernomatosis, typically secondary to portal vein thrombosis, causes portal hypertension, which can lead to gastrointestinal bleeding.  Objective:  To assess the usefulness of splenic elastography in children diagnosed with portal cavernomatosis.  Patients and Methods:  Field research, quasi-experimental, prospective, longitudinal study with a sample of 10 patients.  Results:  100% from socioeconomic stratum III. Equal sex distribution (50% each), with adolescents (early and late) accounting for 50% each. The mean age was 14.8 years (range 14-17 years, SD ± 1.03 years). All patients weighed over 36 kg, with a mean weight of 45.51 kg (range 35-58 kg, SD ± 9.17 kg). 80% had a height greater than 1.45 m, with a mean height of 1.55 m (range 1.35-1.8 m, SD ± 0.13 m). BMI was within the low and normal ranges for 50% of the patients. All patients had a chest circumference greater than 75 cm. 100% presented with large esophageal varices, and 100% had splenic elastography levels greater than 45 KPa. 80% exhibited moderate thrombocytopenia, and 100% had F0 liver fibrosis. 90% had hepatic steatosis S0. All patients showed low portal flow and splenomegaly, with 40% exhibiting hepatic elastography values between 80 and 100 KPa.  Conclusions:  Splenic elastography is a valuable tool in pediatric patients, with an average IQR/MED of 2.52 KPa. A result &gt; 45 KPa serves as a non-invasive parameter and predictor of the risk of esophageal varices.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[varices]]></kwd>
<kwd lng="es"><![CDATA[cavernomatosis]]></kwd>
<kwd lng="es"><![CDATA[elastografía]]></kwd>
<kwd lng="en"><![CDATA[varicose veins]]></kwd>
<kwd lng="en"><![CDATA[cavernomatosis]]></kwd>
<kwd lng="en"><![CDATA[elastography]]></kwd>
</kwd-group>
</article-meta>
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