Evidence map›Paper›PMID 25177367›Full record

ReviewTherapeutic advances in gastroenterology2014

Management of variceal and nonvariceal upper gastrointestinal bleeding in patients with cirrhosis.

Isabelle Cremers, Suzane Ribeiro

3 registry-linked trialsOpen access · bronzeAbstract readReview
In one paragraph

Review in Therapeutic advances in gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 7% of its field
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.

NCT03783065 naunknown statusnot on this mapstarted 2019, after this paper: background citation

HVPG-guided Laparoscopic Versus Endoscopic Therapy for Variceal Rebleeding in Portal Hypertension: A Multicenter Randomized Controlled Trial (CHESS1803)

TypeinterventionalSponsorNanfang Hospital, Southern Medical UniversityRan2019 to 2022Enrolled40ConditionsPortal Hypertension, Variceal RebleedingArmsPropranolol, Laparoscopic splenectomy and pericardial devascularization, Endoscopic therapy
NCT04639323 unknown statusnot on this mapstarted 2020, after this paper: background citation

Endoscopic Ruler for the Assessment of Variceal Bleeding Risks in Portal Hypertension (CHESS2005): A Prospective Multicenter Trial

Typeobservational_patient_registrySponsorHepatopancreatobiliary Surgery Institute of Gansu ProvinceRan2020 to 2025Enrolled266ConditionsLiver Cirrhosis, Portal Hypertension, Gastroesophageal VaricesArmsEndoscopic ruler
NCT04984863 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Clinical Usefulness of Magnetically Controlled Capsule Endoscopy in Assessing Efficacy of Gastro-oesophageal Varices in Patients With Liver Cirrhosis Treated Under Gastroscopy: a Prospective, Multicenter Trial

TypeinterventionalSponsorRuijin HospitalRan2020 to 2022Enrolled96ConditionsGastroesophageal VaricesArmsMagnetically controlled capsule endoscopy
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 77 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. Cytopenias in Autoimmune Liver Diseases-A Review.Journal of clinical medicine · 2025
    Review
  6. Article
  7. [Analysis of clinical characteristics and risk factors for nosocomial mortality in patients with liver cirrhosis combined with atrial arrhythmia].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2024
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Small-cell lung cancer with Mallory-Weiss syndrome as the prominent manifestation.International journal of clinical and experimental pathology · 2019
    Article
  18. Article
  19. Bacteremia in cirrhotic patients with upper gastrointestinal bleeding.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2018
    Article
  20. 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

2 authors at 1 institution in 1 country.

Isabelle CremersCentro Hospitalar de Setúbal, R Camilo Castelo Branco, Setubal 2910-446, Portugal.
Suzane RibeiroCentro Hospitalar de Setúbal, Setubal, Portugal.
Hospital de São Bernardo · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute upper gastrointestinal haemorrhage remains the most common medical emergency managed by gastroenterologists. Causes of upper gastrointestinal bleeding (UGIB) in patients with liver cirrhosis can be grouped into two categories: the first includes lesions that arise by virtue of portal hypertension, namely gastroesophageal varices and portal hypertensive gastropathy; and the second includes lesions seen in the general population (peptic ulcer, erosive gastritis, reflux esophagitis, Mallory-Weiss syndrome, tumors, etc.). Emergency upper gastrointestinal endoscopy is the standard procedure recommended for both diagnosis and treatment of UGIB. The endoscopic treatment of choice for esophageal variceal bleeding is band ligation of varices. Bleeding from gastric varices is treated by injection with cyanoacrylate. Treatment with vasoactive drugs as well as antibiotic treatment is started before or at the same time as endoscopy. Bleeding from portal hypertensive gastropathy is less frequent, usually chronic and treatment options include β-blocker therapy, injection therapy and interventional radiology. The standard of care of UGIB in patients with cirrhosis includes careful resuscitation, preferably in an intensive care setting, medical and endoscopic therapy, early consideration for placement of transjugular intrahepatic portosystemic shunt and, sometimes, surgical therapy or hepatic transplant.

Indexed as

cirrhosismanagementupper gastrointestinal bleeding

Identifiers

PMID25177367
PMCPMC4107701
OpenAlexW2115853490

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.