Evidence map›Paper›PMID 40418198›Full record

ArticleThe Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology2025

Diagnostic Scoring in Biliary Atresia.

Şükrü Güngör, Fatma İlknur Varol, Ebubekir Altundaş, Emre Gök, Turan Yıldız, Sevgi Demiröz

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Article in The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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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

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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

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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

6 authors.

Şükrü GüngörDepartment of Pediatric Gastroenterology, İnönü University School of Medicine, Malatya, Türkiye.ORCID 0000-0002-0433-5970
Fatma İlknur VarolDepartment of Pediatric Gastroenterology, İnönü University School of Medicine, Malatya, Türkiye.ORCID 0000-0001-5212-218X
Ebubekir AltundaşDepartment of Pediatric Surgery Clinic, İnönü University School of Medicine, Malatya, Türkiye.ORCID 0009-0001-4700-192X
Emre GökDepartment of Pediatric Gastroenterology, İnönü University School of Medicine, Malatya, Türkiye.ORCID 0000-0001-9458-8076
Turan YıldızDepartment of Pediatric Surgery Clinic, İnönü University School of Medicine, Malatya, Türkiye.ORCID 0000-0001-5317-7537
Sevgi DemirözDepartment of Pediatric Radiology, İnönü University School of Medicine, Malatya, Türkiye.ORCID 0000-0002-9836-6814

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/Aims: The aim of this study was to develop a diagnostic scoring model to predict the need for intraoperative cholangiography in patients with neonatal cholestasis suspected of having biliary atresia (BA) and to aid in the early diagnosis of BA. Materials and Methods: Data from 70 patients with neonatal cholestasis who underwent intraoperative cholangiography with a preliminary diagnosis of BA between 2019 and 2024 were retrospectively reviewed. Data from patients with and without BA were compared. Thescoring was based on 3 parameters: acholic stool observed clinically on inspection, findings suggestive of BA on ultrasound, and elevated gamma-glutamyl transferase (GGT) levels. The best GGT cut-off point for the diagnosis of BA was determined by receiver operating characteristic analysis. The diagnostic success of the scoring model for BA was statistically evaluated. Results: There were no significant differences in age and gender between BA and non-BA groups. Gamma-glutamyl transferase levels were elevated in all patients. Acholic stools were present in 98% of BA patients. Ultrasound findings suggestive of BA were present in 88.5% of patients with BA. The authors found the best GGT cut-off value for the diagnosis of BA to be ≥366 (73% sensitivity, 77.8% specificity). In the scoring model the authors developed, the presence of 2 parameters provided diagnostic success with high sensitivity (98%) and specificity (83.3%). Conclusion: The study provides a reliable and sensitive diagnostic criterion to determine the need for intraoperative cholangiography in infants with neonatal cholestasis. These data should be validated in larger prospective case series.

Indexed as

Biliary atresiachildrendiagnosisscore

Identifiers

PMID40418198
PMCPMC12616942

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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.