ReviewSeminars in interventional radiology2018
Endovascular Treatment for Variceal Hemorrhage: TIPS, BRTO, and Combined Approaches.
Review in Seminars in interventional radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled 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.
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
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- Comparison of the Effects of TIPS versus BRTO on Bleeding Gastric Varices: A Meta-Analysis.Canadian journal of gastroenterology & hepatology · 2020Pooled it
- BRTO-assisted endoscopic cyanoacrylate injection as a potential therapy for intractable acute gastric variceal bleeding with large SPSS: a retrospective single-center case series study.Frontiers in surgery · 2026Article
- [Position paper for the standardized use of transjugular intrahepatic portosystemic shunt (TIPS) in adults].Zeitschrift fur Gastroenterologie · 2025Article
- Decline of the Sengstaken-Blakemore tube: A review of shifting practices in gastrointestinal hemorrhage management.World journal of critical care medicine · 2025Review
- Non-variceal Extrahepatic Portosystemic Shunts: A Review of Pathogenesis, Diagnosis, and Treatment.Journal of clinical and translational hepatology · 2025Review
- [Paradoxical roles of spontaneous portosystemic shunts and their management strategy in splenectomy with devascularization].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025Article
- Clinical Outcomes of Balloon-Occluded Versus Plug-Assisted Retrograde Transvenous Obliteration in the Treatment of Gastric Varices.Journal of the Belgian Society of Radiology · 2025Article
- Transjugular Intrahepatic Portosystemic Shunt (TIPS) for Treatment of Bleeding from Cardiofundal and Ectopic Varices in Cirrhosis.Journal of clinical medicine · 2024Review
- Paradoxical Cerebral Embolization during Transjugular Intrahepatic Portosystemic Shunt Creation and Variceal Sclerotherapy.Seminars in interventional radiology · 2024Review
- Esophageal Varices as an Independent Predictor of Fatal Outcomes after Balloon-Occluded Retrograde Transvenous Obliteration in Patients with Hepatic Encephalopathy.Digestive diseases (Basel, Switzerland) · 2024Article
- Management of Patients With Gastric Varices.Gastroenterology & hepatology · 2022Article
- Morphometric assessment of the left inferior phrenic vein in patients with portal hypertension.Scientific reports · 2022Article
- Efficacy and safety of combined endoscopic cyanoacrylate injection and balloon-occluded retrograde transvenous occlusion (BRTOcc) of gastrorenal shunts in patients with bleeding gastric fundal varices.Gastroenterology report · 2021Article
- Friend or Foe? Spontaneous Portosystemic Shunts in Cirrhosis-Current Understanding and Future Prospects.Canadian journal of gastroenterology & hepatology · 2021Review
- Comparison of embolic agents for varices during transjugular intrahepatic portosystemic shunt for variceal bleeding: Tissue gel or coil?Journal of interventional medicine · 2020Article
- Beyond the scope and the glue: update on evaluation and management of gastric varices.BMC gastroenterology · 2020Review
- Transjugular intrahepatic portosystemic shunt in cirrhosis: An exhaustive critical update.World journal of gastroenterology · 2020Review
- Where does TIPS fit in the management of patients with cirrhosis?JHEP reports : innovation in hepatology · 2020Review
- Emergent Transjugular Intrahepatic Portosystemic Shunt Creation in Acute Variceal Bleeding.Seminars in interventional radiology · 2020Review
- Variceal Bleed and Portal Hypertensive Gastropathy in a Noncirrhotic Patient with Isolated Splenomegaly.Case reports in hepatology · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Variceal hemorrhage is a feared complication of portal hypertension, with high rates of morbidity and mortality. Optimal management requires a thoughtful, multidisciplinary approach. In cases of refractory or recurrent esophageal hemorrhage, endovascular approaches such as transjugular intrahepatic portosystemic shunt (TIPS) have a well-defined role. For hemorrhage related to gastric varices, the optimal treatment remains to be established; however, there is increasing adoption of balloon-occluded retrograde transvenous obliteration (BRTO). This article will review the concept, history, patient selection, basic technique, and outcomes for TIPS, BRTO, and combined TIPS + BRTO procedures for variceal hemorrhage.
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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.