ArticleJournal of pediatric gastroenterology and nutrition2025
Natural progression and prediction markers in non-clinically significant oesophageal varices in children.
Article in Journal of pediatric gastroenterology and nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Accuracy of splenic stiffness measurement for predicting clinically significant varices in children with portal hypertension: a systematic review and diagnostic test accuracy meta-analysis.BMJ open gastroenterology · 2026Pooled it
- Natural progression and prediction markers in non-clinically significant oesophageal varices in children.Journal of pediatric gastroenterology and nutrition · 2025Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectivesLimited literature exists on non-clinically significant varices (nCSV) and progression in children with portal hypertension (PHT). This study investigates trends and associations in this cohort.
methodsThis retrospective cohort study analysed 70 children with nCSV undergoing surveillance endoscopy between January 2012 and 2024. Laboratory parameters, prediction scores and fibroscan results were collected. Statistical analysis include Mann-Whitney U test, chi-squared test and receiver operating characteristic.
resultsTen children (14.3%) presented with portal vein thrombosis (PVT), 26 (37.1%) with non-biliary atresia chronic liver disease (CLD) and 34 (48.6%) with biliary atresia (BA). Twenty-five children (35.7%) had variceal progression, with median years until progression of 3 years recorded in PVT and CLD (PVT: 1-6 years, CLD: 2-8 years), and 2 years (1-10 years) in BA. Haemoglobin count (Hb) (area under the curve [AUC] = 0.943), risk score (AUC = 0.748), and spleen stiffness by fibroscan (SSM) (AUC = 1.00) revealed optimal accuracy in predicting progression in PVT, with similar findings in CLD (von Willebrand Factor score [vWFAg score]: AUC = 1.00, risk score: AUC = 0.767, SSM: AUC = 0.882). Suboptimal accuracy was seen in BA biomarkers.
conclusionsRisk score is a reliable marker to monitor variceal progression in CLD and PVT. Interim noninvasive scores could be trialled along with surveillance OGD to validate results. Caution is advised extending endoscopy period for children with BA. Due to small subgroup sizes, larger cohort studies are needed to validate SSM and vWFAg score in children with nCSV.
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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.