Evidence map›Paper›PMID 33770278›Full record

Trial reportSurgical endoscopy2022

Endoscopic thermocoagulation hemostasis for acute non-varicose upper gastrointestinal hemorrhage: a randomized controlled study.

Ou Qian, Qiaoxian Zhang, Yufeng Pan, Chiyue Cheng, Lanying Xu, Jinhui Guan, Ze-Hao Zhuang

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Comprehensive review on the current management of upper-GI bleed.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Review
  2. Observational
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

7 authors at 2 institutions in 1 country.

Ou QianDepartment of Endoscopy Center, The First Afilliated Hospital of Fujian Medical University, Chazhong Road 20, Fuzhou, 350004, Fujian, China.
Qiaoxian ZhangDepartment of Nursing Department, The First Afilliated Hospital of Fujian Medical University, Fuzhou, Fujian, China.
Yufeng PanDepartment of Endoscopy Center, The First Afilliated Hospital of Fujian Medical University, Chazhong Road 20, Fuzhou, 350004, Fujian, China.
Chiyue ChengDepartment of Endoscopy Center, The First Afilliated Hospital of Fujian Medical University, Chazhong Road 20, Fuzhou, 350004, Fujian, China.
Lanying XuDepartment of Endoscopy Center, The First Afilliated Hospital of Fujian Medical University, Chazhong Road 20, Fuzhou, 350004, Fujian, China.
Jinhui GuanDepartment of Endoscopy Center, The First Afilliated Hospital of Fujian Medical University, Chazhong Road 20, Fuzhou, 350004, Fujian, China.
Ze-Hao ZhuangDepartment of Endoscopy Center, The First Afilliated Hospital of Fujian Medical University, Chazhong Road 20, Fuzhou, 350004, Fujian, China. zhuang203@yeah.net.
Fujian Medical University · CNFirst Affiliated Hospital of Fujian Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study evaluated the application of the bipolar electrocoagulation catheter via a peripheral-to-central (3 + 1) technique, relative to directly pressing only at the center of the bleeding site (direct-stroke), to effect endoscopic hemostasis of acute non-varicose gastrointestinal bleeding (ANVUGIB).

methodsPatients (n = 148) with endoscopically diagnosed ANVUGIB were randomly apportioned to receive treatment by 3 + 1 (n = 78) or direct-stroke (n = 70) application of the bipolar electrocoagulation catheter. The 3 + 1 strategy required pressing at3 narrowly restricted sites equidistant peripheral and center to the site of bleeding. The rates of initial success, hemostasis time, and number of compressions were compared according to intention-to-treat (ITT) or per protocol (PP).

resultsThe ITT (PP) rate of initial hemostatic success in patients receiving the 3 + 1 catheter was 91.02% (95.9%); and for the direct-stroke group was 71.42% (76.9%). For Forrest IIa lesions specifically, these rates were respectively 91.70% (97.1%) and 63.9% (67.6%). The ITT (PP) hemostasis times of the 3 + 1 and direct-stroke groups were 10.96 ± 3.28 (10.65 ± 2.90) and 14.27 ± 6.58 (14.12 ± 6.67) min; and the number of compressions numbered 5.73 ± 1.98 (5.42 ± 1.46) and 6.47 ± 2.82 (6.16 ± 2.47).

conclusionDuring thermocoagulation treatment of ANVUGIB via bipolar electrocoagulation catheter, the 3 + 1 strategy showed a significantly higher rate of successful initial hemostasis relative to the direct-stroke technique, and shorter hemostasis time, with no increase in total procedural steps.

Indexed as

Hemostasis, EndoscopicHemostaticsElectrocoagulationGastrointestinal HemorrhageHemostasisHumansHemostaticsAcute non-varicose upper gastrointestinal hemorrhageBipolar electrocoagulation catheterEndoscopic therapyThermocoagulation hemostasis

Identifiers

PMID33770278
OpenAlexW3138987315

What OpenQuestion holds

Textmetadata
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.