Evidence map›Paper›PMID 37181921›Full record

ReviewJPGN reports2023

Congenital Portosystemic Shunts: Variable Clinical Presentations Requiring a Tailored Endovascular or Surgical Approach.

Eduardo Bent Robinson, Gregory Jordan, Danielle Katz, Shikha S Sundaram, Julia Boster, Dania Brigham, Patricia Ladd, Christine M Chan, Rebecca L Shay, Emily Ochmanek and 1 more

Open access · hybridAbstract readReview
In one paragraph

Review in JPGN reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

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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

11 authors at 4 institutions in 1 country.

Eduardo Bent RobinsonFrom the Department of Radiology, University of Colorado School of Medicine, Aurora, CO, USA.
Gregory JordanFrom the Department of Radiology, University of Colorado School of Medicine, Aurora, CO, USA.
Danielle KatzDivision of Pediatric Radiology, Department of Radiology, University of Colorado, Aurora, CO, USA.
Shikha S SundaramDivision of Pediatric Gastroenterology, Hepatology and Nutrition, Digestive Health Institute, Department of Pediatrics, University of Colorado, Aurora, CO, USA.
Julia BosterDivision of Pediatric Gastroenterology, Hepatology and Nutrition, Digestive Health Institute, Department of Pediatrics, University of Colorado, Aurora, CO, USA.
Dania BrighamDivision of Pediatric Gastroenterology, Hepatology and Nutrition, Digestive Health Institute, Department of Pediatrics, University of Colorado, Aurora, CO, USA.
Patricia LaddDivision of Pediatric Radiology, Department of Radiology, University of Colorado, Aurora, CO, USA.
Christine M ChanDivision of Pediatric Endocrinology, Department of Pediatrics, University of Colorado, Aurora, CO, USA.
Rebecca L ShayDivision of Neonatology, Department of Pediatrics, University of Colorado, Aurora, CO, USA.
Emily OchmanekDivision of Interventional Radiology, Department of Radiology, University of New Mexico, Albuquerque, NM, USA.
Aparna AnnamDivision of Pediatric Radiology, Department of Radiology, University of Colorado, Aurora, CO, USA.
University of Colorado Anschutz Medical Campus · USUniversity of Colorado Denver · USUniversity of Colorado Hospital · USUniversity of New Mexico · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Congenital portosystemic shunts (CPSS) are rare developmental anomalies resulting in diversion of portal flow to the systemic circulation. These shunts allow intestinal blood to reach the systemic circulation directly, and if persistent or large, may lead to long-term complications. CPSS can have a variety of clinical presentations that depend on the substrate that is bypassing hepatic metabolism or the degree of hypoperfusion of the liver. Many intrahepatic shunts spontaneously close by 1 year of age, but extrahepatic and persistent intrahepatic shunts require intervention by a single session or staged closure with a multidisciplinary approach. Early detection and appropriate management are important for a good prognosis. The aim of this case series is to describe the varied clinical presentations, treatment approaches, and outcomes of 5 children with CPSS at our institution. Management of these patients should involve a multidisciplinary team, including interventional radiology, surgery, hepatology, and other medical services as the patient's clinical presentation warrants. Regardless of clinical presentation, if a CPSS persists past 1-2 years of age, closure is recommended.

Indexed as

endovascular closurehepatic tumorshyperinsulinisminterventional radiologyportosystemic shunt

Identifiers

PMID37181921
PMCPMC10174742
OpenAlexW4324264955

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.