Evidence map›Paper›PMID 32514463›Full record

ArticleJGH open : an open access journal of gastroenterology and hepatology2020

Clinical significance of isolated gastric varices in liver cirrhotic patients: A single-referral-centre retrospective cohort study.

Cosmas Rinaldi A Lesmana, Kemal F Kalista, Sharon Sandra, Irsan Hasan, Andri Sanityoso Sulaiman, Juferdy Kurniawan, Chyntia O M Jasirwan, Saut H Nababan, Mutiara Lirendra, Gita Aprilicia and 1 more

Open access · goldAbstract read
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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 35% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Article
  3. [Efficacy Evaluation of Three Endoscopic Therapies of Isolated Gastric Varices with Modified Tissue Adhesive].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2022
    Article
  4. 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

11 authors at 1 institution in 1 country.

Cosmas Rinaldi A LesmanaHepatobiliary Division, Department of Internal Medicine, Dr. Cipto Mangunkusumo National General Hospital Universitas Indonesia Jakarta Indonesia.ORCID https://orcid.org/0000-0001-9992-9968
Kemal F KalistaHepatobiliary Division, Department of Internal Medicine, Dr. Cipto Mangunkusumo National General Hospital Universitas Indonesia Jakarta Indonesia.
Sharon SandraHepatobiliary Division, Department of Internal Medicine, Dr. Cipto Mangunkusumo National General Hospital Universitas Indonesia Jakarta Indonesia.
Irsan HasanHepatobiliary Division, Department of Internal Medicine, Dr. Cipto Mangunkusumo National General Hospital Universitas Indonesia Jakarta Indonesia.
Andri Sanityoso SulaimanHepatobiliary Division, Department of Internal Medicine, Dr. Cipto Mangunkusumo National General Hospital Universitas Indonesia Jakarta Indonesia.
Juferdy KurniawanHepatobiliary Division, Department of Internal Medicine, Dr. Cipto Mangunkusumo National General Hospital Universitas Indonesia Jakarta Indonesia.
Chyntia O M JasirwanHepatobiliary Division, Department of Internal Medicine, Dr. Cipto Mangunkusumo National General Hospital Universitas Indonesia Jakarta Indonesia.
Saut H NababanHepatobiliary Division, Department of Internal Medicine, Dr. Cipto Mangunkusumo National General Hospital Universitas Indonesia Jakarta Indonesia.
Mutiara LirendraHepatobiliary Division, Department of Internal Medicine, Dr. Cipto Mangunkusumo National General Hospital Universitas Indonesia Jakarta Indonesia.
Gita ApriliciaHepatobiliary Division, Department of Internal Medicine, Dr. Cipto Mangunkusumo National General Hospital Universitas Indonesia Jakarta Indonesia.
Rino A GaniHepatobiliary Division, Department of Internal Medicine, Dr. Cipto Mangunkusumo National General Hospital Universitas Indonesia Jakarta Indonesia.
University of Indonesia · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionGastric varices (GVs) occur in 10-30% of liver cirrhotic patients, with a mortality rate of up to 45%. Rupture of isolated GVs (IGVs) is less prevalent but often results in more severe hemorrhage and a higher risk of mortality than rupture of esophageal varices (EVs). However, there is no clear consensus yet about the optimal management for incidentally discovered IGVs.

objectiveTo determine the clinical significance of IGVs in liver cirrhotic patients.

methodsThis was a retrospective cohort endoscopy database study within a 2-year period (2016-2017). All study subjects were liver cirrhotic patients with OVs or GVs. The exclusion criteria were noncirrhotic portal hypertension, presence of malignancy, absence of varices, and incomplete data. Statistical analysis was performed using IBM SPSS 23.

resultsA total of 153 patients were included in this study. IGVs were found in 13 (8.49%) patients, whereas OVs were found in 112 (73.20%) patients and gastro-OVs were found in 28 (18.30%) patients. Child-Pugh class C (CP C) score was the strongest independent risk factor for variceal bleeding in bivariate analysis (hazard ratio [HR]: 10.21, 95% confidence interval [CI]: 4.15-25.12,

conclusionThe presence of IGVs has no clinical significance in the occurrence of 1-year rebleeding and in patient survival.

Indexed as

bleedinggastric varicesliver cirrhotic patientsmortality rate

Identifiers

PMID32514463
PMCPMC7273693
OpenAlexW2997044032

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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.