Evidence map›Paper›PMID 33679049›Full record

ReviewJournal of clinical and experimental hepatology

Sickle Hepatopathy.

Dibya L Praharaj, Anil C Anand

Open access · greenAbstract readReview
In one paragraph

Review in Journal of clinical and experimental hepatology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

23 citing papers in PubMed, 35 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Sickle cell hepatopathy in Oman: An emerging burden demanding regional action.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2025
    Article
  8. Prevalence, risk factors, and demographic insights of sickle cell hepatopathy in Omani adolescents and adults: A retrospective analysis.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2025
    Article
  9. Article
  10. Article
  11. Emerging need for a hepato-hematology program for patients with sickle cell disease in Saudi Arabia.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Iron as a therapeutic target in chronic liver disease.World journal of gastroenterology · 2023
    Review
  18. Review
  19. Review
  20. 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

2 authors at 1 institution in 1 country.

Dibya L PraharajDepartment of Gastroenterology & Hepatology, Kalinga Institute of Medical Sciences, Bhubneshwar, India.
Anil C AnandDepartment of Gastroenterology & Hepatology, Kalinga Institute of Medical Sciences, Bhubneshwar, India.
All India Institute of Medical Sciences Bhubaneswar · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sickle hepatopathy is an umbrella term describing various pattern of liver injury seen in patients with sickle cell disease. The disease is not uncommon in India; in terms of prevalence, India is second only to Sub-Saharan Africa where sickle cell disease is most prevalent. Hepatic involvement in sickle cell disease is not uncommon. Liver disease may result from viral hepatitis and iron overload due to multiple transfusions of blood products or due to disease activity causing varying changes in vasculature. The clinical spectrum of disease ranges from ischemic injury due to sickling of red blood cells in hepatic sinusoids, pigment gall stones, and acute/chronic sequestration syndromes. The sequestration syndromes are usually episodic and self-limiting requiring conservative management such as antibiotics and intravenous fluids or packed red cell transfusions. However, rarely these episodes may present with coagulopathy and encephalopathy like acute liver failure, which are life-threatening, requiring exchange transfusions or even liver transplantation. However, evidence for their benefits, optimal indications, and threshold to start exchange transfusion is limited. Similarly, there is paucity of the literature regarding the end point of exchange transfusion in this scenario. Liver transplantation may also be beneficial in end-stage liver disease. Hydroxyurea, the antitumor agent, which is popularly used to prevent life-threatening complications such as acute chest syndrome or stroke in these patients, has been used only sparingly in hepatic sequestrations. The purpose of this review is to provide insights into epidemiology of sickle cell disease in India and pathogenesis and classification of hepatobiliary involvement in sickle cell disease. Finally, various management options including exchange transfusion, liver transplantation, and hydroxyurea in hepatic sequestration syndromes will be discussed in brief.

Indexed as

AASLD, American Association for the Study of Liver DiseasesACLF, Acute on chronic liver failureALF, Acute liver failureALT, Alanine transaminaseAST, Aspartate transaminasecholelithiasisFFP, Fresh frozen plasmaGIT, Gastrointestinal tractHAV, Hepatitis A virusHbS, Sickle hemoglobinHbSS, Sickle cell disease homozygousHBV, Hepatitis B virusHCV, Hepatitis C virusHEV, Hepatitis E virusHIC, Hepatic iron contentINR, International normalized ratiointrahepatic cholestasisPT, Prothrombin timeRUQ, Right upper quadrantSCD, Sickle cell diseaseSCIC, Sickle cell intrahepatic cholestasisSC, Scheduled castesickle cell hepatopathysickle cholangiopathysickle hepatic crisisST, Scheduled tribeTJLB, Transjugular liver biopsyUDCA, Ursodeoxycholic acid

Identifiers

PMID33679049
PMCPMC7897874
OpenAlexW4206129429

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.