Evidence map›Paper›PMID 34240318›Full record

ArticleHepatology international2021

Budd-Chiari syndrome: consensus guidance of the Asian Pacific Association for the study of the liver (APASL).

Akash Shukla, Ananta Shreshtha, Amar Mukund, Chhagan Bihari, C E Eapen, Guohong Han, Hemant Deshmukh, Ian Homer Y Cua, Cosmas Rinaldi Adithya Lesmana, Mamun Al Meshtab and 10 more

Abstract readConsensus Statement
PubMed Publisher
In one paragraph

Article in Hepatology international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 3 pooled it
6.7field-weighted citation impact, top 2% 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

53 citing papers in PubMed, 3 syntheses or guidelines pooled it, 89 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Prothrombotic states in portal vein thrombosis and Budd-Chiari syndrome in India: A systematic review and meta-analysis.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2023
    Pooled it
  4. Article
  5. Article
  6. [Global differences and challenges in the definition of acute liver failure].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
    Review
  7. Challenges in the management of vascular liver disorders in women in the reproductive period.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Comparison of direct intrahepatic portosystemic shunt and other major radiological interventions in patients with Budd-Chiari syndrome.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2025
    Article
  15. [Research progress on early-stage primary biliary cholangitis accompanied by portal hypertension].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
    Review
  16. Article
  17. Article
  18. Article
  19. Interventions in Budd-Chiari syndrome: an updated review.Abdominal radiology (New York) · 2025
    Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 13 institutions in 10 countries.

Akash ShuklaDepartment of Gastroenterology, King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College, Mumbai, India. drakashshukla@yahoo.com.ORCID http://orcid.org/0000-0001-7718-9452
Ananta ShreshthaAlka Hospital, Kathmandu, Nepal.
Amar MukundInstitute of Liver and Biliary Sciences, New Delhi, India.
Chhagan BihariInstitute of Liver and Biliary Sciences, New Delhi, India.
C E EapenChristian Medical College, Vellore, India.
Guohong HanXijing Hospital of Digestive Diseases, Fourth Military Medical University, Xian, China.
Hemant DeshmukhDean and Head of Radiology, King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College, Mumbai, India.
Ian Homer Y CuaInstitute of Digestive and Liver Diseases, St Lukes Medical Center, Global City, Philippines.
Cosmas Rinaldi Adithya LesmanaDr. Cipto Mangunkusumo National General Hospital, Universitas Indonesia, Jakarta, Indonesia.
Mamun Al MeshtabBangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
Masayoshi KageDepartment of Gastroenterology, King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College, Mumbai, India.
Roongruedee ChaiteerakiDivision of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Sombat TreeprasertsukDivision of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Suprabhat GiriDepartment of Gastroenterology, King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College, Mumbai, India.
Sundeep PunamiyaVascular and Interventional Radiology, Tan Tock Seng Hospital, Singapore, Singapore.
Valerie ParadisDpt dAnatomie Pathologique, Hôpital Beaujon, 100 bd du Gal Leclerc, Clichy, 92110, France.
Xingshun QiGeneral Hospital of Northern Theater Command (formerly General Hospital of Shenyang Military Area), No. 83 Wenhua Road, Shenyang, China.
Yasuhiko SugawaraDepartment of Transplantation and Pediatric Surgery, Kumamoto University, Kumamoto, Japan.
Zaigham AbbasDepartment of Hepatogastroenterology, Dr. Ziauddin University Hospital Clifton, Karachi, Pakistan.
Shiv Kumar SarinInstitute of Liver and Biliary Sciences, New Delhi, India.
King Edward Memorial Hospital and Seth G.S. Medical College · INInstitute of Liver and Biliary Sciences · INChulalongkorn University · THChristian Medical College, Vellore · INGeneral Hospital of Shenyang Military Region · CNHôpital Beaujon · FRKumamoto University · JPKurume University · JPSt. Luke's Medical Center · PHTan Tock Seng Hospital · SGUniversity of Indonesia · IDXijing Hospital · CNZiauddin Hospital · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Budd Chiari syndrome (BCS) is a diverse disease with regard to the site of obstruction, the predisposing thrombophilic disorders and clinical presentation across the Asia-Pacific region. The hepatic vein ostial stenosis and short segment thrombosis are common in some parts of Asia-Pacific region, while membranous obstruction of the vena cava is common in some and complete thrombosis of hepatic veins in others. Prevalence of myeloproliferative neoplasms and other thrombophilic disorders in BCS varies from region to region and with different sites of obstruction. This heterogeneity also raises several issues and dilemmas in evaluation and approach to management of a patient with BCS. The opportunity to recanalize hepatic vein in patients with hepatic vein ostial stenosis or inferior vena cava stenting or pasty among those membranous obstruction of the vena cava is a unique opportunity in the Asia-Pacific region to restore hepatic outflow closely mimicking physiology. In order to address these issues arising out of the diversity as well as the unique features in the region, the Asia Pacific Association for Study of Liver has formulated these guidelines for clinicians.

Indexed as

Budd-Chiari SyndromeHepatic VeinsHumansVena Cava, InferiorAscitesBudd Chiari syndromeHepatic vein stentingHepatocellular carcinomaHVOTOLiver biopsyLiver transplantMOVCPortal hypertensionTIPS

Identifiers

PMID34240318
OpenAlexW3180918825

What OpenQuestion holds

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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.