Third-trimester fetal pancreas imaging in uncomplicated pregnancies and association with pregnancy outcomes

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dc.authoridEmiralioglu Cakir, Zubeyde/0000-0001-8298-8363
dc.authoridEkin, Atalay/0000-0002-4712-3927
dc.authoridGolbasi, Hakan/0000-0001-8682-5537
dc.authoridBayraktar, Burak/0000-0001-6233-4207
dc.contributor.authorGolbasi, Hakan
dc.contributor.authorBayraktar, Burak
dc.contributor.authorGolbasi, Ceren
dc.contributor.authorOmeroglu, Ibrahim
dc.contributor.authorAtakul, Bahar Konuralp
dc.contributor.authorCakir, Zubeyde Emiralioglu
dc.contributor.authorToka, Ilknur Gumus
dc.date.accessioned2025-03-20T09:51:25Z
dc.date.available2025-03-20T09:51:25Z
dc.date.issued2024
dc.departmentİzmir Bakırçay Üniversitesi
dc.description.abstractObjective: To examine third-trimester sonographic imaging of the fetal pancreas in uncomplicated pregnancies and its association with pregnancy outcomes. Methods: This was a prospective cohort study including 274 pregnant women. Uncomplicated pregnancies in the third trimester (28-40 weeks) were included in the study. Maternal chronic disease, pregnancy-related disorders such as hypertension, diabetes, cholestasis, smoking, and fetal abnormalities were determined as exclusion criteria. Sonographic fetal pancreatic measurement and echogenicity were evaluated in all participants. For intra-observer reliability, each participant's fetal pancreatic circumference was measured two times. The echogenicity of the pancreas was compared with the liver and ribs and classified as grade 1, 2, and 3. The pregnancy outcomes of all participants were obtained from the hospital digital registration system. Results: The average fetal pancreatic circumference in the third trimester was 70.7 +/- 0.6 mm (median, 70 [44-100.7]), with high intra-observer agreement (ICC 0.996 [0.995; 0.997]). A significant positive correlation was found between pancreatic circumference, body mass index (BMI), gestational age, and birth weight. Pancreatic measurements were significantly higher in composite adverse outcomes cases that included at least one of respiratory distress syndrome, hyperbilirubinemia, neonatal pneumonia, infection, and sepsis (p < 0.001). No relationship was found between pancreatic echogenicity and perinatal outcomes. Conclusion: Fetal pancreas size was positively correlated with gestational age, BMI, and birth weight, and increased fetal pancreas size was associated with composite adverse neonatal outcomes.
dc.identifier.doi10.1002/jcu.23667
dc.identifier.endpage528
dc.identifier.issn0091-2751
dc.identifier.issn1097-0096
dc.identifier.issue5
dc.identifier.pmid38465703
dc.identifier.scopus2-s2.0-85187486721
dc.identifier.scopusqualityQ3
dc.identifier.startpage522
dc.identifier.urihttps://doi.org/10.1002/jcu.23667
dc.identifier.urihttps://hdl.handle.net/20.500.14034/2537
dc.identifier.volume52
dc.identifier.wosWOS:001181634800001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofJournal of Clinical Ultrasound
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20250319
dc.subjectbody mass index
dc.subjectechogenicity
dc.subjectfetal pancreas
dc.subjectperinatal outcomes
dc.subjectultrasonography
dc.titleThird-trimester fetal pancreas imaging in uncomplicated pregnancies and association with pregnancy outcomes
dc.typeArticle

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