Evidence map›Paper›PMID 33389241›Full record

ReviewCurrent gastroenterology reports2021

The Role of Endoscopic Ultrasound (EUS) in the Management of Gastric Varices.

Sushrut Sujan Thiruvengadam, Alireza Sedarat

Open access · hybridAbstract readComparative StudyReview
In one paragraph

Review in Current gastroenterology reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.2field-weighted citation impact, top 6% 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

25 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
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  13. Technical tips for EUS-guided embolization of varices and pseudoaneurysms.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2024
    Review
  14. Article
  15. Review
  16. Review
  17. EUS-Guided Vascular Interventions.Journal of clinical medicine · 2023
    Review
  18. Diagnosis and Management of Esophagogastric Varices.Diagnostics (Basel, Switzerland) · 2023
    Review
  19. Article
  20. Article
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

2 authors at 2 institutions in 1 country.

Sushrut Sujan ThiruvengadamDivision of Digestive Diseases, UCLA Vatche and Tamar Manoukian, Los Angeles, CA, USA. SThiruvengadam@mednet.ucla.edu.
Alireza SedaratDivision of Digestive Diseases, UCLA Vatche and Tamar Manoukian, Los Angeles, CA, USA.
Santa Monica College · USUCLA Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewGastric varices (GV) are an important complication of portal hypertension, and the current recommendation for management is beta-blocker therapy for primary prophylaxis and transjugular intrahepatic portosystemic shunt (TIPS) for active bleeding or secondary prophylaxis. Direct endoscopic injection of cyanoacrylate (CYA) glue has been investigated but has drawbacks including limited endoscopic characterization of GV and possible distal glue embolism. To this end, endoscopic ultrasound (EUS) has been pursued to help in characterization of GV, visualization of treatment in real time, and confirmation of obliteration with Doppler. RECENT

findingsIn this paper, we review treatments for GV involving EUS, including EUS-guided injection of CYA and coils, either alone or in combination. We also discuss less common methods, including EUS-guided injection of thrombin and absorbable gelatin sponge. We then review literature comparing EUS-guided methods with direct endoscopic therapy and comparing individual EUS-guided methods with one another. We conclude by highlighting drawbacks of EUS in this field, including the unproven benefit over conventional therapy, lack of a standardized approach, and limited availability of expertise and necessary materials. Novel EUS-based methods offer a unique opportunity to directly visualize and access gastric varices for treatment and obliteration. This may provide key advantages over current endoscopic or angiographic treatments. Comparative studies investigating the benefit of EUS over conventional therapy are needed.

Indexed as

EndosonographyEmbolization, TherapeuticEsophageal and Gastric VaricesHumansHypertension, PortalInjections, IntralesionalTissue AdhesivesTissue AdhesivesCoil injectionCyanoacrylate injectionEndoscopic ultrasoundGastric varices

Identifiers

PMID33389241
PMCPMC7778619
OpenAlexW3120154461

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.