Evidence map›Paper›PMID 32587444›Full record

ReviewWorld journal of gastroenterology2020

Diagnostic challenges in non-cirrhotic portal hypertension - porto sinusoidal vascular disease.

Oana Nicoară-Farcău, Ioana Rusu, Horia Stefănescu, Marcel Tanțău, Radu Ion Badea, Bogdan Procopeț

Open access · greenAbstract readReview
In one paragraph

Review in World journal of gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% 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, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Role of Hydrogen Sulfide and Hypoxia in Hepatic Angiogenesis of Portal Hypertension.Journal of clinical and translational hepatology · 2023
    Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Article
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 2 institutions in 1 country.

Oana Nicoară-FarcăuUniversity of Medicine and Pharmacy "Iuliu Hatieganu", Cluj-Napoca 400000, Romania.
Ioana RusuUniversity of Medicine and Pharmacy "Iuliu Hatieganu", Cluj-Napoca 400000, Romania.
Horia StefănescuGastroenterology Department, Regional Institute of Gastroenterology and Hepatology "O. Fodor", Cluj-Napoca 400000, Romania.
Marcel TanțăuUniversity of Medicine and Pharmacy "Iuliu Hatieganu", Cluj-Napoca 400000, Romania.
Radu Ion BadeaUniversity of Medicine and Pharmacy "Iuliu Hatieganu", Cluj-Napoca 400000, Romania.
Bogdan ProcopețUniversity of Medicine and Pharmacy "Iuliu Hatieganu", Cluj-Napoca 400000, Romania.
Iuliu Hațieganu University of Medicine and Pharmacy · ROInstitutul Regional de Gastroenterologie Prof. Dr. Octavian Fodor · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Non-cirrhotic portal hypertension consists of a group of diseases characterized by signs and complications of portal hypertension, which differ from cirrhosis through histological alterations, hemodynamic characterization and, clinical outcome. Because of the similarities in clinical presentation and imaging signs, frequently these patients, and particularly those with porto-sinusoidal vascular disease (PSVD), are misdiagnosed as having liver cirrhosis and thus raising difficulties in their diagnosis. The most challenging differentiation to be considered is between PSVD and cirrhosis and, although not pathognomonic, liver biopsy is still the standard of diagnosis. Although they still require extended validation before being broadly used, new non-invasive methods for the diagnosis of porto-sinusoidal vascular disease, like transient elastography, contrast-enhanced ultrasound or metabolomic profiling, have shown promising results. Another issue is the differentiation between PSVD and chronic extrahepatic portal vein obstruction, especially now when it is known that 40% of patients suffering from PSVD develop portal vein thrombosis. In this particular case, once the portal vein thrombosis occurred, the diagnosis of PSVD is impossible according to the current guidelines. Moreover, so far, the differentiation between PSVD and sinusoidal obstruction syndrome has not been clear so far in particular circumstances. In this review we highlighted the diagnostic challenges regarding the PSVD, as well as the current techniques used in the evaluation of these patients.

Indexed as

Elasticity Imaging TechniquesHypertension, PortalVascular DiseasesVenous ThrombosisHumansLiver CirrhosisPortal VeinCirrhosisExtrahepatic portal vein obstructionIdiopathic portal hypertensionNon-cirrhotic portal hypertensionNon-invasive diagnosisPorto-sinusoidal vascular disease

Identifiers

PMID32587444
PMCPMC7304099
OpenAlexW3034761285

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.