Evidence map›Paper›PMID 29317943›Full record

ArticleGastroenterology research2017

Acute Lower Gastrointestinal Bleeding: Characteristics and Clinical Outcome of Patients Treated With an Intensive Protocol.

Georgia Diamantopoulou, Christos Konstantakis, Anastasia Kottorοu, Georgios Skroubis, Georgios Theocharis, Vasileios Theopistos, Christos Triantos, Vasiliki Nikolopoulou, Konstantinos Thomopoulos

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Article in Gastroenterology research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

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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

7 citing papers in PubMed, 16 citations in OpenAlex.

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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

9 authors at 2 institutions in 2 countries.

Georgia DiamantopoulouDepartment of Gastroenterology, University Hospital of Patras, 26504 Rio, Greece.
Christos KonstantakisDepartment of Gastroenterology, University Hospital of Patras, 26504 Rio, Greece.
Anastasia KottorοuLaboratory of Molecular Oncology, University Hospital of Patras, 26504 Rio, Greece.
Georgios SkroubisDepartment of Surgery, University Hospital of Patras, 26504 Rio, Greece.
Georgios TheocharisDepartment of Gastroenterology, University Hospital of Patras, 26504 Rio, Greece.
Vasileios TheopistosDepartment of Gastroenterology, University Hospital of Patras, 26504 Rio, Greece.
Christos TriantosDepartment of Gastroenterology, University Hospital of Patras, 26504 Rio, Greece.
Vasiliki NikolopoulouDepartment of Gastroenterology, University Hospital of Patras, 26504 Rio, Greece.
Konstantinos ThomopoulosDepartment of Gastroenterology, University Hospital of Patras, 26504 Rio, Greece.
General University Hospital of Patras · GRMolecular Oncology (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn recent years major advances have been made in the management of patients with acute lower gastrointestinal bleeding. The aim of this study was to investigate the characteristics and clinical outcome of patients with acute lower gastrointestinal bleeding (ALGIB) treated with an intensive protocol.

methodsWe analyzed the medical records of 528 patients with ALGIB. All patients after hemodynamic stabilization underwent colonoscopy during the first 24 h of hospitalization and capsule enteroscopy when needed. Patients with massive ongoing bleeding underwent computed tomography angiography (CTA), and when active bleeding was detected embolization was immediately performed.

resultsThe mean age of the patients was 70.2 ± 14.6 years and 271 (51.3%) of them were men. At least one comorbidity was present in 464 patients (87.9%), cardiovascular disease in 266 (50.4%), while 158 (30%) patients were on antiplatelet drugs and 96 (18.2%) on anticoagulants. The most common causes of bleeding were diverticulosis (19.7%) and ischemic colitis (19.3%). Thirty-six patients (6.9%) had small intestinal bleeding. In 117 patients (22.2%) active bleeding or recent bleeding stigmata were found and in 82 of them (92.1%) endoscopic hemostasis was applied. Embolization was performed in 10 (1.9%) and was successful in seven (70%) cases, while surgical hemostasis was required in only six (1.1%) cases. Forty-four (8.3%) patients had a rebleeding episode, and 13 patients died with an overall mortality of 2.5%.

conclusionsManagement of ALGIB based on an intensive protocol is safe and effective. The bleeding source can be identified in most cases with a favorable outcome.

Indexed as

Acute lower gastrointestinal bleedingCapsule endoscopyColonoscopyEndoscopic therapyOutcome

Identifiers

PMID29317943
PMCPMC5755637
OpenAlexW2782486340

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