Evidence map›Paper›PMID 30719429›Full record

ArticleCanadian journal of gastroenterology & hepatology2019

Liver and Spleen Stiffness Measurements for Assessment of Portal Hypertension Severity in Patients with Budd Chiari Syndrome.

Elton Dajti, Federico Ravaioli, Antonio Colecchia, Giovanni Marasco, Amanda Vestito, Davide Festi

Open access · goldAbstract read
In one paragraph

Article in Canadian journal of gastroenterology & hepatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed, 30 citations in OpenAlex.

  1. Liver and Spleen Stiffness as Non-Invasive Tools Assessing Liver Congestion in Patients With Budd-Chiari Syndrome.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Article
  2. Article
  3. Budd-Chiari Syndrome: Presentation, Management, and Prognosis.The American journal of gastroenterology · 2026
    Review
  4. Interventions in Budd-Chiari syndrome: an updated review.Abdominal radiology (New York) · 2025
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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

6 authors at 1 institution in 1 country.

Elton DajtiDepartment of Medical and Surgical Sciences (DIMEC), University of Bologna, Italy.ORCID 0000-0003-2905-1146
Federico RavaioliDepartment of Medical and Surgical Sciences (DIMEC), University of Bologna, Italy.ORCID 0000-0002-1142-8585
Antonio ColecchiaGastroenterology Unit, Borgo Trento University Hospital, Verona, Italy.ORCID 0000-0002-8384-801X
Giovanni MarascoDepartment of Medical and Surgical Sciences (DIMEC), University of Bologna, Italy.
Amanda VestitoDepartment of Medical and Surgical Sciences (DIMEC), University of Bologna, Italy.
Davide FestiDepartment of Medical and Surgical Sciences (DIMEC), University of Bologna, Italy.ORCID 0000-0001-9534-1745
University of Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Budd-Chiari Syndrome (BCS) is a rare vascular disease of the liver caused by the obstruction of the hepatic venous outflow located from the small hepatic venules up to the entrance of the inferior vena cava (IVC) into the right atrium. Current prognostic indexes are suboptimal for an individual prognostic assessment and subsequent management of patients with BCS. Liver (LSM) and spleen (SSM) stiffness measurements are widely validated prognostic tools in hepatology, but the evidence in patients with BCS is limited. This paper describes LSM and SSM in patients with BCS and their correlation with clinical, biochemical, and ultrasound findings from the same patients. Methods: We investigated a case series of seven patients with BCS diagnosis and available LSM and SSM evaluated by transient elastography (TE). Biochemical, imaging, and endoscopic findings nearest to the TE evaluation were recorded. Clinical outcomes and BCS evolution were described for each patient. When available, repeated TE assessments were also recorded. Results: Patients with acute nonfulminant manifestation of BCS presented near-the-upper-limit values (75 kPa) of LSM and SSM, which often persist until the placement of a transjugular intrahepatic portosystemic shunt (TIPS). On the other hand, TE values were markedly lower in patients with compensated BCS. In some patients with repeated TE measurement years after TIPS placement, LSM had decreased to values of <10 kPa years. SSM changes in these patients were, however, less evident. Conclusions: Extremely elevated values of LSM and SSM are suggestive of BCS. The evaluation of both LSM and SSM by TE could help clinicians in the initial evaluation, risk stratification, and therapy response monitoring of patients with BCS.

Indexed as

AdultAgedBudd-Chiari SyndromeElasticity Imaging TechniquesFemaleHumansHypertension, PortalLiverMaleMiddle AgedPortasystemic Shunt, Transjugular IntrahepaticPrognosisRetrospective StudiesSeverity of Illness IndexSpleenYoung Adult

Identifiers

PMID30719429
PMCPMC6334356
OpenAlexW2906738011

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.