Evidence map›Paper›PMID 25755567›Full record

ReviewJournal of clinical and experimental hepatology2014

Idiopathic Non-Cirrhotic Intrahepatic Portal Hypertension (NCIPH)-Newer Insights into Pathogenesis and Emerging Newer Treatment Options.

Ashish Goel, Joshua E Elias, Chundamannil E Eapen, Banumathi Ramakrishna, Elwyn Elias

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of clinical and experimental hepatology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 43 citations in OpenAlex.

  1. Article
  2. Liver involvement in dyskeratosis congenita-Case series and concise literature review.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2025
    Article
  3. Focused panel sequencing points to genetic predisposition in non-cirrhotic intrahepatic portal hypertension patients in India.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024
    Article
  4. Article
  5. Undiagnosed liver diseases.Translational gastroenterology and hepatology · 2021
    Review
  6. Review
  7. Article
  8. Common Variable Immunodeficiency and Liver Involvement.Clinical reviews in allergy & immunology · 2018
    Review
  9. Pathology of idiopathic non-cirrhotic portal hypertension.Virchows Archiv : an international journal of pathology · 2018
    Review
  10. Article
  11. Serum ADAMTS-13 Levels as an Indicator of Portal Vein Thrombosis.Gastroenterology research and practice · 2018
    Article
  12. ADAMTS13 missense variants associated with defective activity and secretion of ADAMTS13 in a patient with non-cirrhotic portal hypertension.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2017
    Article
  13. Plasma von Willebrand factor levels predict in-hospital survival in patients with acute-on-chronic liver failure.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2016
    Article
  14. Article
  15. Arsenicosis, possibly from contaminated groundwater, associated with noncirrhotic intrahepatic portal hypertension.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2016
    Article
  16. Idiopathic noncirrhotic portal hypertension: current perspectives.Hepatic medicine : evidence and research · 2016
    Review
  17. Hepatobiliary quiz-12 (2014).Journal of clinical and experimental hepatology · 2014
    Article
  18. Article
  19. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Ashish GoelDepartment of Hepatology, Christian Medical College, Vellore, Tamil Nadu, India.
Joshua E EliasAddenbrooke's Hospital, Cambridge, UK.
Chundamannil E EapenDepartment of Hepatology, Christian Medical College, Vellore, Tamil Nadu, India.
Banumathi RamakrishnaDepartment of Pathology, Christian Medical College, Vellore, Tamil Nadu, India.
Elwyn EliasDepartment of Hepatology, Christian Medical College, Vellore, Tamil Nadu, India ; Liver Unit, University Hospital Birmingham, Birmingham, UK.
Christian Medical College · INChristian Medical College & Hospital · INAddenbrooke's Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic microangiopathy of portal venules results in idiopathic non-cirrhotic intrahepatic portal hypertension (NCIPH). Recent data suggest a role for vasoactive factors of portal venous origin in the pathogenesis of this 'pure' vasculopathy of the liver. Enteropathies (often silent), are an important 'driver' of this disease. NCIPH is under-recognized and often mis-labeled as cryptogenic cirrhosis. Liver biopsy is needed to prove the diagnosis of NCIPH. In these patients, with advancing disease and increased porto-systemic shunting, the portal venous vasoactive factors bypass the liver filter and contribute to the development of pulmonary vascular endothelial disorders-porto-pulmonary hypertension and hepato-pulmonary syndrome as well as mesangiocapillary glomerulonephritis. Prognosis in NCIPH patients is determined by presence, recognition and management of associated disorders. With better understanding of the pathogenesis of NCIPH, newer treatment options are being explored. Imbalance in ADAMTS 13 (a disintegrin and metalloprotease with thrombospondin type 1 motif, member 13): vWF (von-Willebrand factor) ratio is documented in NCIPH patients and may have a pathogenic role. Therapeutic interventions to correct this imbalance may prove to be important in the management of NCIPH.

Indexed as

ADAMTS 13CVID, common variable immunodeficiencyendothelial dysfunctionHPS, hepato-pulmonary syndromeHVPG, hepatic venous pressure gradientIBD, inflammatory bowel diseaseNCIPH, non-cirrhotic intrahepatic portal hypertensionNRH, nodular regenerative hyperplasiaOPV, obliterative portal venopathyPPH, porto-pulmonary hypertensionprimary haemostasisPVT, portal vein thrombosisSOS, sinusoidal obstruction syndrometTG, Tissue transglutaminasevon-Willebrand factor (vWF)

Identifiers

PMID25755567
PMCPMC4284211
OpenAlexW2055966245

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.