Evidence map›Paper›PMID 34978653›Full record

ArticleCVIR endovascular2022

Emborrhoid technique performed on a patient with portal hypertension and chronic hemorrhoidal bleeding as a salvage therapy.

Filipa Alves E Sousa, Pedro Marinho Lopes, Inês Bolais Mónica, Ana Catarina Carvalho, Pedro Sousa

Open access · goldAbstract read
In one paragraph

Article in CVIR endovascular, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

5 authors at 4 institutions in 1 country.

Filipa Alves E SousaDepartment of Radiology, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal. filipasousa039@gmail.com.
Pedro Marinho LopesDepartment of Radiology, Centro Hospitalar Vila Nova de Gaia/Espinho, Oporto, Portugal.
Inês Bolais MónicaDepartment of General Surgery, Hospital Distrital da Figueira da Foz, Coimbra, Portugal.
Ana Catarina CarvalhoDepartment of Gastroenterology, Centro Hospitalar Tondela Viseu, Viseu, Portugal.
Pedro SousaDepartment of Radiology, Centro Hospitalar Vila Nova de Gaia/Espinho, Oporto, Portugal.
Centro Hospitalar de Vila Nova de Gaia · PTCentro Hospitalar Tondela-Viseu · PTHospital da Luz · PTHospital Santo António dos Capuchos · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHemorrhoidal disease most commonly manifests itself with chronic rectal bleeding and, in its most severe and refractory forms, may lead to chronic anaemia with the need for recurrent blood transfusions. The main pathogenetic mechanism involved seems to be arterial hyperflux in the terminal branches that supply the hemorrhoidal plexus. It is based on this principle, that embolization of the superior rectal artery (emborrhoid technique) has recently re-emerged, with very promising results that support its feasibility, treatment efficacy, and safety. CASE PRESENTATION: We report a case of a patient with both recurrent hemorrhoidal bleeding and portal hypertension with rectal varices, who underwent SRA embolization as a salvage therapy, with significant clinical improvement and no immediate or short-term complications.

conclusionsWe believe that the positive results from our case raise the possibility that the emborrhoid technique could be effective and safe even in patients with portal hypertension, and that it would be clinically relevant to investigate this hypothesis on larger samples with a longer follow-up.

Indexed as

embolizationEmborrhoidhemorrhoidal diseaseportal hypertensionrectal varices

Identifiers

PMID34978653
PMCPMC8724469
OpenAlexW4206313899

What OpenQuestion holds

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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.