Evidence map›Paper›PMID 36215953›Full record

ArticleMedical principles and practice : international journal of the Kuwait University, Health Science Centre2022

Extrahepatic Portal Vein Thrombosis in Childhood: Risk Factors, Clinical Manifestations, and Management.

Ivan Yankov, Rayna Shentova-Eneva, Hristo Mumdzhiev, Penka Petleshkova, Maya Krasteva, Dimitar Chatalbashev, Penka Stefanova, Evgeniy Moshekov, Teodora Gogova

Open access · diamondAbstract read
In one paragraph

Article in Medical principles and practice : international journal of the Kuwait University, Health Science Centre, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

1 citing paper in PubMed, 8 citations in OpenAlex.

  1. 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

9 authors at 3 institutions in 2 countries.

Ivan YankovDepartment of Pediatrics, University Hospital "Saint George," Medical University of Plovdiv, Plovdiv, Bulgaria.
Rayna Shentova-EnevaDepartment of Pediatrics, Herford Hospital, Campus OWL, Ruhr-University Bochum, Bochum, Germany.
Hristo MumdzhievDepartment of Neonatology, University Hospital, Medical University of Stara Zagora, Stara Zagora, Bulgaria.
Penka PetleshkovaDepartment of Neonatology, University Hospital "Saint George", Medical University of Plovdiv, Plovdiv, Bulgaria.
Maya KrastevaDepartment of Neonatology, University Hospital "Saint George", Medical University of Plovdiv, Plovdiv, Bulgaria.
Dimitar ChatalbashevDepartment of Pediatrics, University Hospital "Saint George," Medical University of Plovdiv, Plovdiv, Bulgaria.
Penka StefanovaDepartment of Pediatric Surgery, University Hospital "Saint George", Medical University of Plovdiv, Plovdiv, Bulgaria.
Evgeniy MoshekovDepartment of Pediatric Surgery, University Hospital "Saint George", Medical University of Plovdiv, Plovdiv, Bulgaria.
Teodora GogovaDepartment of Radiology, University Hospital "Saint George", Medical University of Plovdiv, Plovdiv, Bulgaria.
Medical University Plovdiv · BGRuhr University Bochum · DETrakia University · BG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveExtrahepatic portal vein thrombosis (EHPVT) is a common cause of portal hypertension in children. The aim of the present study was to identify the clinical manifestations and the risk factors for development of EHPVT in pediatric patients. SUBJECTS AND

methodsThis was a single-center retrospective cohort study. A total of 12 children (6 boys and 6 girls) took part in the study. We noted the clinical presentations and the predisposing risk factors for development of EHPVT in all patients. In addition, as all of them had undergone an esophagogastroduodenoscopy for detection and grading of esophageal varices as part of the treatment algorithm, we analyzed the endoscopic findings and the therapeutic approach.

resultsThe median age of subjects at diagnosis was 3.5 years (range: 1-17 years). The most frequent initial clinical manifestation was upper gastrointestinal bleeding (6 cases, 50.0%) followed by splenomegaly (3 cases, 25.0%). The most frequent systemic risk factor for EHPVT was presence of inherited prothrombotic disorder (10 cases, 83.3%), and the most common local risk factor for EHPVT was umbilical vein catheterization (5 cases, 41.7%). Esophageal varices were revealed in all the study participants, and in the most cases, they were grade ≥2. Propranolol was used as primary or secondary prophylaxis in 7 children (58.3%), and in 5 children (41.7%), a shunt was performed (Meso-Rex bypass in 3 children and splenorenal shunt in 2 children).

conclusionPatients with known systemic or local risk factors for EHPVT are indicated for proactive ultrasound screening for early diagnosis and timely management.

Indexed as

Esophageal and Gastric VaricesVenous ThrombosisAdolescentChildChild, PreschoolFemaleGastrointestinal HemorrhageHumansInfantMalePortal VeinRetrospective StudiesRisk FactorsExtrahepatic portal vein thrombosisManifestationsRisk factors

Identifiers

PMID36215953
PMCPMC9841761
OpenAlexW4304115634

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.