Evidence map›Paper›PMID 37206071›Full record

Trial reportWorld journal of gastrointestinal surgery2023

Endoscopic ultrasound-guided intraportal injection of autologous bone marrow in patients with decompensated liver cirrhosis: A case series.

Shao-Peng Zheng, Ao-Jian Deng, Jing-Jing Zhou, Ling-Zhi Yuan, Xiao Shi, Fen Wang

Open access · diamondAbstract readClinical Trial
In one paragraph

Trial report in World journal of gastrointestinal surgery, 2023. 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
0.4field-weighted citation impact, top 35% 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, 2 citations in OpenAlex.

  1. Article
  2. Review
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

6 authors at 2 institutions in 1 country.

Shao-Peng ZhengDepartment of Gastroenterology, Third Xiangya Hospital of Central South University, Changsha 410013, Hunan Province, China.
Ao-Jian DengDepartment of Gastroenterology, Third Xiangya Hospital of Central South University, Changsha 410013, Hunan Province, China.
Jing-Jing ZhouDepartment of Gastroenterology, Third Xiangya Hospital of Central South University, Changsha 410013, Hunan Province, China.
Ling-Zhi YuanDepartment of Gastroenterology, Third Xiangya Hospital of Central South University, Changsha 410013, Hunan Province, China.
Xiao ShiDepartment of Gastroenterology, Third Xiangya Hospital of Central South University, Changsha 410013, Hunan Province, China.
Fen WangDepartment of Gastroenterology, Third Xiangya Hospital of Central South University, Changsha 410013, Hunan Province, China.
Third Xiangya Hospital · CNCentral South University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecently, stem cell therapy has been extensively studied as a promising treatment for decompensated liver cirrhosis (DLC). Technological advances in endoscopic ultrasonography (EUS) have facilitated EUS-guided portal vein (PV) access, through which stem cells can be precisely infused.

aimTo investigate the feasibility and safety of fresh autologous bone marrow injection into the PV under EUS guidance in patients with DLC.

methodsFive patients with DLC were enrolled in this study after they provided written informed consent. EUS-guided intraportal bone marrow injection with a 22G FNA needle was performed using a transgastric, transhepatic approach. Several parameters were assessed before and after the procedure for a follow-up period of 12 mo.

resultsFour males and one female with a mean age of 51 years old participated in this study. All patients had hepatitis B virus-related DLC. EUS-guided intraportal bone marrow injection was performed in all patients successfully without any complications such as hemorrhage. The clinical outcomes of the patients revealed improvements in clinical symptoms, serum albumin, ascites, and Child-Pugh scores throughout the 12-mo follow-up.

conclusionThe use of EUS-guided fine needle injection for intraportal delivery of bone marrow was feasible and safe and appeared effective in patients with DLC. This treatment may thus be a safe, effective, non-radioactive, and minimally invasive treatment for DLC.

Indexed as

Bone marrowDecompensated liver cirrhosisEndoscopic ultrasonographyFine needle injectionPortal vein

Identifiers

PMID37206071
PMCPMC10190720
OpenAlexW4366765345

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Registered trials

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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.