Evidence map›Paper›PMID 35661928›Full record

ArticleInternational journal of surgery case reports2022

Portal vein stenting in the management of duodenal varices due to malignant obstruction: A case report and literature review.

Susmit Roy, Thomas Giles, Adeeb Majid

Open access · goldAbstract read
In one paragraph

Article in International journal of surgery case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 47% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

3 authors at 2 institutions in 1 country.

Susmit RoyDepartment of General Surgery, Calvary Mater Hospital, Waratah, NSW 2298, Australia; Discipline of Surgery, School of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia; Department of General Surgery, John Hunter Hospital, New Lambton Heights, NSW 2305, Australia. Electronic address: susmitprosunroy@gmail.com.
Thomas GilesDepartment of General Surgery, John Hunter Hospital, New Lambton Heights, NSW 2305, Australia.
Adeeb MajidDepartment of General Surgery, Calvary Mater Hospital, Waratah, NSW 2298, Australia; Discipline of Surgery, School of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia.
John Hunter Hospital · AUCalvary Mater Newcastle Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and importanceEctopic varices of the small bowel are a rare complication of portal hypertension. There are various aetiologies that can cause portal vein hypertension such as portal vein obstruction. Each of these pathologies has their own management strategies. Currently, there is a paucity of literature demonstrating the best management for patients with malignant portal vein obstruction leading to these varices. CASE PRESENTATION: This report presents a case of a 66-year-old female who presented with recurrent per-rectal bleeding. Computed tomography angiography diagnosed duodenal varices in the context of malignant obstruction of the portal vein. Due to being a poor operative candidate, she underwent trans-hepatic portal vein stenting leading to resolution of her symptoms. CLINICAL DISCUSSION: To date, the management of portal vein obstruction due to various aetiologies has only been reported in case reports with no significant large-scale studies providing recommendations on the most appropriate treatment. This case demonstrates the role of palliative stenting for patients with portal hypertension due to malignant portal vein obstruction.

conclusionDuodenal varices are a rare complication of portal vein obstruction. This article contributes to the literature by demonstrating that patients with complications associated with portal vein obstruction can benefit from stenting. For those with malignant obstruction, palliative stenting serves as an important therapeutic option.

Indexed as

Ectopic varicesPalliative endovascular stentingPortal vein obstructionPortal vein stenting

Identifiers

PMID35661928
PMCPMC9163501
OpenAlexW4281481069

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.