Evidence map›Paper›PMID 38324146›Full record

ReviewInfection2024

The role of gut barrier dysfunction in postoperative complications in liver transplantation: pathophysiological and therapeutic considerations.

Stelios F Assimakopoulos, Sanjay Bhagani, Ioanna Aggeletopoulou, Efthymios P Tsounis, Emmanuel A Tsochatzis

Abstract readReview
In one paragraph

Review in Infection, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Next-Generation Probiotics in Allergy Therapy: Scientific Evidence and Clinical Applications.Anti-inflammatory & anti-allergy agents in medicinal chemistry · 2026
    Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. [When should a liver disease patient be admitted to the intensive care unit?]Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2024
    Review
  13. Review
  14. Review
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

5 authors.

Stelios F AssimakopoulosDivision of Infectious Diseases, Department of Internal Medicine, Medical School, University of Patras, University Hospital of Patras, Rion, 26504, Patras, Greece. sassim@upatras.gr.ORCID http://orcid.org/0000-0002-6901-3681
Sanjay BhaganiDepartment of Infectious Diseases/HIV Medicine, Royal Free Hospital, London, UK.ORCID http://orcid.org/0000-0003-2557-4337
Ioanna AggeletopoulouDivision of Gastroenterology, Department of Internal Medicine, University Hospital of Patras, Patras, Greece.ORCID http://orcid.org/0000-0003-4489-1485
Efthymios P TsounisDivision of Gastroenterology, Department of Internal Medicine, University Hospital of Patras, Patras, Greece.ORCID http://orcid.org/0000-0003-2797-5070
Emmanuel A TsochatzisUCL Institute for Liver and Digestive Health, Royal Free Hospital and UCL, London, UK.ORCID http://orcid.org/0000-0001-5069-2461

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeGut barrier dysfunction is a pivotal pathophysiological alteration in cirrhosis and end-stage liver disease, which is further aggravated during and after the operational procedures for liver transplantation (LT). In this review, we analyze the multifactorial disruption of all major levels of defense of the gut barrier (biological, mechanical, and immunological) and correlate with clinical implications.

methodsA narrative review of the literature was performed using PubMed, PubMed Central and Google from inception until November 29th, 2023.

resultsSystemic translocation of indigenous bacteria through this dysfunctional barrier contributes to the early post-LT infectious complications, while endotoxin translocation, through activation of the systemic inflammatory response, is implicated in non-infectious complications including renal dysfunction and graft rejection. Bacterial infections are the main cause of early in-hospital mortality of LT patients and unraveling the pathophysiology of gut barrier failure is of outmost importance.

conclusionA pathophysiology-based approach to prophylactic or therapeutic interventions may lead to enhancement of gut barrier function eliminating its detrimental consequences and leading to better outcomes for LT patients.

Indexed as

Gastrointestinal MicrobiomeLiver TransplantationPostoperative ComplicationsBacterial TranslocationHumansBacterial translocationEndotoxemiaIntestinal barrierIntestinal permeabilityLiver transplantationPostoperative infections

Identifiers

PMID38324146
PMCPMC11143052

What Socratic 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 Socratic graph.