Evidence map›Paper›PMID 30697445›Full record

ReviewWorld journal of gastrointestinal pharmacology and therapeutics2019

Update on the management of gastrointestinal varices.

Umesha Boregowda, Chandraprakash Umapathy, Nasir Halim, Madhav Desai, Arpitha Nanjappa, Subramanyeswara Arekapudi, Thimmaiah Theethira, Helen Wong, Marina Roytman, Shreyas Saligram

4 registry-linked trialsOpen access · diamondAbstract readReview
In one paragraph

Review in World journal of gastrointestinal pharmacology and therapeutics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 2% 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.

NCT04828369 completednot on this mapstarted 2020, after this paper: background citation

Efficacy and Safety of EUS-Guided Coil Embolization Combined With Endoscopic Cyanoacrylate Injection Versus Balloon-Occluded Retrograde Transvenous Obliteration for Gastric Varices With High-risk Ectopic Embolism

TypeobservationalSponsorRenmin Hospital of Wuhan UniversityRan2020 to 2021Enrolled104ConditionsPortal Hypertension, Liver Cirrhosis, Gastric Varix, Portosystemic ShuntArmsEUS-guided coil embolization combined with endoscopic cyanoacrylate injection, balloon-occluded retrograde transvenous obliteration
NCT05331768 nacompletednot on this mapstarted 2021, after this paper: background citation

Comparison of Endoscopic Band Ligation Plus 24-hour Versus 72-hour Terlipressin Therapy for the Control of Acute Variceal Bleeding in Patients With Liver Cirrhosis at a Tertiary Center in Mexico

TypeinterventionalSponsorInstituto Mexicano del Seguro SocialRan2021 to 2021Enrolled109ConditionsEsophageal and Gastric VaricesArmsbanding ligation plus terlipressin infusion
NCT05500625 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Endoscopic Ultrasound-guided Coil With Cyanoacrylate Injection Versus Balloon-Occluded Retrograde Transvenous Obliteration in Managing Patients With Gastric Varices

TypeinterventionalSponsorAssiut UniversityRan2022 to 2025Enrolled70ConditionsGastric VarixArmsEndoscopic ultrasound-guided coil embolization combined with endoscopic cyanoacrylate injection, Ballon-occluded retrograde transvenous obliteration
NCT06325436 unknown statusnot on this mapstarted 2024, after this paper: background citation

Accuracy of Simple Objective Scores in Prediction of Short-Term Outcome Among Cirrhotic Patients With Variceal Bleeding

TypeobservationalSponsorAssiut UniversityRan2024 to 2026Enrolled85ConditionsVariceal Hemorrhage
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 104 citations in OpenAlex.

  1. Pooled it
  2. Article
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  7. Article
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  11. Endoscopic ultrasound-guided treatment of isolated gastric varices.World journal of gastrointestinal endoscopy · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Review
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  20. [Lesions of the paravertebral mediastinum].Radiologie (Heidelberg, Germany) · 2023
    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

10 authors at 4 institutions in 1 country.

Umesha BoregowdaDepartment of Gastroenterology and Hepatology, University of California San Francisco, Fresno, CA 93721, United States.
Chandraprakash UmapathyDepartment of Gastroenterology and Hepatology, University of California San Francisco, Fresno, CA 93721, United States.
Nasir HalimDepartment of Gastroenterology and Hepatology, University of California San Francisco, Fresno, CA 93721, United States.
Madhav DesaiDepartment of Gastroenterology and Hepatology, Kansas University Medical Center, Kansas City, KS 66160, United States.
Arpitha NanjappaDepartment of Gastroenterology and Hepatology, University of California San Francisco, Fresno, CA 93721, United States.
Subramanyeswara ArekapudiDepartment of Medicine, VA Central California Healthcare System, Fresno, CA 93703, United States.
Thimmaiah TheethiraDepartment of Gastroenterology and Hepatology, University of California San Francisco, Fresno, CA 93721, United States.
Helen WongDepartment of Gastroenterology and Hepatology, VA Central California Healthcare System, Fresno, CA 93703, United States.
Marina RoytmanDepartment of Gastroenterology and Hepatology, University of California San Francisco, Fresno, CA 93721, United States.
Shreyas SaligramDepartment of Gastroenterology and Hepatology, University of California San Francisco, Fresno, CA 93721, United States.
University of Kansas Medical Center · USVA Central California Health Care System · USUniversity Medical Center · USUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cirrhosis of liver is a major problem in the western world. Portal hypertension is a complication of cirrhosis and can lead to a myriad of pathology of which include the development of porto-systemic collaterals. Gastrointestinal varices are dilated submucosal veins, which often develop at sites near the formation of gastroesophageal collateral circulation. The incidence of varices is on the rise due to alcohol and obesity. The most significant complication of portal hypertension is life-threatening bleeding from gastrointestinal varices, which is associated with substantial morbidity and mortality. In addition, this can cause a significant burden on the health care facility. Gastrointestinal varices can happen in esophagus, stomach or ectopic varices. There has been considerable progress made in the understanding of the natural history, pathophysiology and etiology of portal hypertension. Despite the development of endoscopic and medical treatments, early mortality due to variceal bleeding remains high due to significant illness of the patient. Recurrent variceal bleed is common and in some cases, there is refractory variceal bleed. This article aims to provide a comprehensive review of the management of gastrointestinal varices with an emphasis on endoscopic interventions, strategies to handle refractory variceal bleed and newer endoscopic treatment modalities. Early treatment and improved endoscopic techniques can help in improving morbidity and mortality.

Indexed as

Ectopic varicesEndoscopyEsophageal varicesGastric varicesPortal hypertension

Identifiers

PMID30697445
PMCPMC6347650
OpenAlexW2912238505

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.