Evidence map›Paper›PMID 39840645›Full record

ReviewJournal of pediatric gastroenterology and nutrition2025

Recent advances in the management of pediatric cholestatic liver diseases.

Krupa R Mysore, Katherine Cheng, Lakshmi Anandini Suri, Rima Fawaz, Alisha M Mavis, Debora Kogan-Liberman, Saeed Mohammad, Sarah A Taylor

Abstract readReview
In one paragraph

Review 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. 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

8 authors.

Krupa R MysoreDivision of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas, USA.ORCID 0000-0001-9890-5518
Katherine ChengDepartment of Pediatrics, University of California San Francisco, San Francisco, California, USA.ORCID 0000-0002-7283-590X
Lakshmi Anandini SuriDepartment of Pediatrics, Children's Healthcare of Atlanta, Atlanta, Georgia, USA.ORCID 0000-0001-6116-2909
Rima FawazDepartment of Pediatrics, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0009-0005-2598-3319
Alisha M MavisDepartment of Pediatrics, Levine Children's Hospital, Atrium Health, Charlotte, North Carolina, USA.ORCID 0000-0001-6258-4492
Debora Kogan-LibermanDepartment of Pediatrics, Hassenfeld Children's Hospital at NYU Langone, New York, New York, USA.ORCID 0009-0000-2328-7612
Saeed MohammadDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0002-2950-2552
Sarah A TaylorDepartment of Pediatrics, Children's Hospital of Colorado, University of Colorado, Aurora, Colorado, USA.ORCID 0000-0002-3575-8386

Funding

Macrophage Regulation of Immune Pathogenesis of Biliary AtresiaK08DK121937 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI TAYLOR, SARAH ANN · 2021 to 2024
$653k
NIDDK NIH HHS DK121937NIDDK NIH HHS K08 DK121937
6 · The paper itself

Abstract

Pediatric cholestatic liver diseases are rare conditions that can result from multiple specific underlying etiologies. Among the most common etiologies of pediatric cholestatic liver diseases are biliary atresia, Alagille syndrome (ALGS), and inherited disorders of bile acid transport. These diseases are characterized by episodic or chronic unremitting cholestasis. Due to the chronicity of these conditions, it is imperative to optimize medical management to improve patient quality of life, provide nutritional support, and reduce bile acid toxicity in efforts to slow disease progression. Cholestatic liver diseases remain the leading cause of pediatric liver transplantation, as many underlying disease etiologies have no curative medical therapies. In the present review, we provide an update on the nutritional, medical, and surgical management of pediatric cholestatic liver diseases. As recent advances have occurred in the field with the addition of ileal bile acid transporter (IBAT) inhibitors, we also review the results from prospective clinical trials, including their strengths and limitations. While recent clinical trials have demonstrated improved pruritus using IBAT inhibitors in ALGS and progressive familial intrahepatic cholestasis, establishing medical therapies proven to slow disease progression remains an area of unmet need.

Indexed as

CholestasisCholestasis, IntrahepaticAlagille SyndromeBile Acids and SaltsBiliary AtresiaChildHumansLiver TransplantationBile Acids and Saltsbiliary atresiapediatric cholestasispediatric hepatologypruritus

Identifiers

PMID39840645
PMCPMC11961318

What Socratic holds

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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 Socratic graph.