Evidence map›Paper›PMID 40352035›Full record

ArticleCureus2025

The Effects of Temporary Interruption of Hepatic Blood Circulation.

Tamar Turmanidze, Ketevan Jandieri, Leila Jandieri, Levan Benashvili, Revaz Otarashvili, Evgeni Asatiani, Grigol Sulaberidze, Gigi Gorgadze, Liana Kikalishvili

Abstract read
In one paragraph

Article in Cureus, 2025. 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
–field-weighted citation impact
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.

  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.

Tamar TurmanidzeDepartment of Clinical Anatomy and Operative Surgery, Tbilisi State Medical University, Tbilisi, GEO.
Ketevan JandieriDepartment of Clinical Anatomy and Operative Surgery, Tbilisi State Medical University, Tbilisi, GEO.
Leila JandieriDepartment of Clinical Anatomy and Operative Surgery, Tbilisi State Medical University, Tbilisi, GEO.
Levan BenashviliDepartment of Clinical Anatomy and Operative Surgery, Tbilisi State Medical University, Tbilisi, GEO.
Revaz OtarashviliDepartment of Clinical Anatomy and Operative Surgery, Tbilisi State Medical University, Tbilisi, GEO.
Evgeni AsatianiDepartment of Clinical Anatomy and Operative Surgery, Tbilisi State Medical University, Tbilisi, GEO.
Grigol SulaberidzeDepartment of Dynamic Anatomy, Tbilisi State Medical University, Tbilisi, GEO.
Gigi GorgadzeFaculty of Medicine, Tbilisi State Medical University, Tbilisi, GEO.
Liana KikalishviliDepartment of Clinical Anatomy and Operative Surgery, Tbilisi State Medical University, Tbilisi, GEO.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Large-scale liver surgeries often require the temporary interruption of hepatic blood circulation, a process that can lead to potentially irreversible damage to the liver and other internal organs. This study aims to investigate the macro-morphological, histological, and ultrastructural changes in the liver and other organs following temporary hepatic blood flow interruption.  Experiments were conducted on 26 rats, randomly assigned to two groups: Group I (control: five rats) and Group II (rats that underwent bile duct ligation: 21 rats). On day 6, the hepatoduodenal ligament was ligated. Decapitation was performed at specific time points following ligature removal: 15 minutes (n = 7), 24 hours (n = 7), and 48 hours (n = 7). Tissue samples were collected for general morphological, histochemical, and electron microscopic analysis. The investigation revealed that damage to the liver and other organs after temporary hepatic blood flow interruption and subsequent restoration was more prolonged and severe in the presence of cholestasis than in its absence. Fifteen minutes after the ligature removal, new bile duct formation or "neoductulogenesis" was observed, creating an additional reservoir for congested bile. At 24 and 48 hours, a marked decrease in neoductule numbers was noted. This was attributed to the flow of congested bile into the bloodstream through new pathways, drainage of intrahepatic bile ducts, and reduced intrahepatic bile pressure. These changes precipitated hepatocyte metaplasia into ductal biliary epithelial cells and promoted further neoductulogenesis.

Indexed as

blood circulationcholestasishepatocyteslivernecrosis

Identifiers

PMID40352035
PMCPMC12064141

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.