Evidence map›Paper›PMID 35769094›Full record

ArticleJournal of clinical imaging science2022

Gastroduodenal artery embolization for peptic ulcer hemorrhage refractory to endoscopic intervention: A single-center experience.

Zain M Khazi, Jasraj Marjara, Michael Nance, Yezaz Ghouri, Ghassan Hammoud, Ryan Davis, Ambarish Bhat

Open access · hybridAbstract read
In one paragraph

Article in Journal of clinical imaging science, 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
1.0field-weighted citation impact, top 26% 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, 8 citations in OpenAlex.

  1. Article
  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.

Zain M KhaziDepartment of Radiology, University of Missouri, Columbia, Missouri, United States.ORCID https://orcid.org/0000-0003-1574-3483
Jasraj MarjaraDepartment of Radiology, University of Missouri, Columbia, Missouri, United States.ORCID https://orcid.org/0000-0002-9776-7034
Michael NanceDepartment of Internal medicine, Mercy Hospital St. Louis, Saint Louis, Missouri, United States.ORCID https://orcid.org/0000-0002-3355-3520
Yezaz GhouriDepartment of Medicine, University of Missouri, Columbia, Missouri, United States.ORCID https://orcid.org/0000-0002-8677-1871
Ghassan HammoudDepartment of Medicine, University of Missouri, Columbia, Missouri, United States.ORCID https://orcid.org/0000-0003-3551-0652
Ryan DavisDepartment of Radiology, University of Missouri, Columbia, Missouri, United States.ORCID https://orcid.org/0000-0002-0858-3330
Ambarish BhatDepartment of Radiology, University of Missouri, Columbia, Missouri, United States.
University of Missouri · USMercy Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To determine the efficacy of gastroduodenal artery embolization (GDAE) for bleeding peptic ulcers that failed endoscopic intervention. To identify incidence and risk factors for failure of GDAE. Materials and Methods: A retrospective review of patients who underwent GDAE for hemorrhage from peptic ulcer disease refractory to endoscopic intervention were included in the study. Refractory to endoscopic intervention was defined as persistent hemorrhage following at least two separate endoscopic sessions with two different endoscopic techniques (thermal, injection, or mechanical) or one endoscopic session with the use of two different techniques. Demographics, comorbidities, endoscopic and angiographic findings, significant post-embolization pRBC transfusion, and index GDAE failure were collected. Failure of index GDAE was defined as the need for re-intervention (repeat embolization, endoscopy, or surgery) for rebleeding or mortality within 30 days after GDAE. Multivariate analyzes were performed to identify independent predictors for failure of index GDAE. Results: There were 70 patients that underwent GDAE after endoscopic intervention for bleeding peptic ulcers with a technical success rate of 100%. Failure of index GDAE rate was 23% ( Conclusion: The study demonstrates safety and efficacy of GDAE for hemorrhage from PUD that is refractory to endoscopic intervention. Days between endoscopy and GDAE, high comorbidity burden, and extravasation during angiography are associated with increased risk for failure of index GDAE.

Indexed as

EmbolizationEndoscopyGastroduodenal arteryInterventional radiologyPeptic ulcer disease

Identifiers

PMID35769094
PMCPMC9235422
OpenAlexW4281924128

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.