Evidence map›Paper›PMID 32280774›Full record

ArticleJGH open : an open access journal of gastroenterology and hepatology2020

Enteric tube placement in patients with esophageal varices: Risks and predictors of postinsertion gastrointestinal bleeding.

Lolwa N Al-Obaid, Ahmad Najdat Bazarbashi, Margot E Cohen, Judith Kim, Yuxiu Lei, Jordan E Axelrad, Alyson Fox, Subani Chandra, Fredric D Gordon

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JGH open : an open access journal of gastroenterology and hepatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
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

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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Article
  4. Review
  5. Review
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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 1 country.

Lolwa N Al-ObaidDepartment of Internal Medicine Lahey Hospital and Medical Center Burlington Massachusetts USA.ORCID https://orcid.org/0000-0001-8733-553X
Ahmad Najdat BazarbashiDepartment of Medicine New York-Presbyterian/Columbia University Medical Center New York City New York USA.
Margot E CohenDepartment of Medicine New York-Presbyterian/Columbia University Medical Center New York City New York USA.
Judith KimDepartment of Medicine New York-Presbyterian/Columbia University Medical Center New York City New York USA.
Yuxiu LeiDivision of Pulmonary and Critical Care Medicine Lahey Hospital and Medical Center Burlington Massachusetts USA.
Jordan E AxelradDepartment of Medicine New York-Presbyterian/Columbia University Medical Center New York City New York USA.
Alyson FoxDivision of Gastroenterology and Hepatology New York-Presbyterian/Columbia University Medical Center New York City New York USA.
Subani ChandraDivision of Pulmonary and Critical Care Medicine New York-Presbyterian/Columbia University Medical Center New York City New York USA.
Fredric D GordonDivision of Transplantation and Hepatobiliary Diseases Lahey Hospital and Medical Center Burlington Massachusetts USA.
NewYork–Presbyterian Hospital · USLahey Hospital and Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimEnteric tube (ET) placement is approached with caution in patients with esophageal varices (EV) due to concern of causing variceal bleeding. Data are limited on rates and predictors of gastrointestinal bleeding (GIB) in these patients. This study aims to assess the rate and predictors of bleeding from EV after ET placement.

methodsWe performed a retrospective chart review on patients requiring ET access with known EV. Inclusion criteria were age >18 with endoscopically proven EV who required ET placement. Patients who were admitted with, or developed a GIB prior to placement of ET were excluded, as were patients admitted for liver transplantation. Primary outcome was incidence of GIB within 48 h of tube placement. Secondary outcome was a >2 g/dL drop in hemoglobin within 48 h of placement without evidence of bleed. Statistical analysis was performed using Fischer's exact test, Mann-Whitney

resultsA total of 75 patients were included in the analysis. The most common etiology of cirrhosis was alcohol (44%). The most common location of EV was in the lower third of the esophagus (61%). The primary outcome was observed in 11 (14.6%) patients. The secondary outcome was found in eight (10.6%) patients. On univariate analysis, GIB was associated with higher MELD-Na (

conclusionET placement in patients with EV is associated with low risk of bleeding. Elevated MELD-Na and lower EV location conferred a higher risk of bleeding after ET placement.

Indexed as

cirrhosisenteric tubesesophageal varicesgastrointestinal bleeding

Identifiers

PMID32280774
PMCPMC7144797
OpenAlexW2972925062

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.