Evidence map›Paper›PMID 37257163›Full record

ReviewCureus2023

Use of Balloon Occluded Retrograde Transvenous Obliteration (BRTO) for Treatment of Gastric Varices: A Narrative Review.

Anum Khakwani, Manan Trivedi, Maham Afzal, Puneet Kahlon, Khola, Parakh Patel, Punith Chowdary Chirumamilla, Rimsha R Vohra, Rani Ratheesh, Midhun Mathew and 2 more

Abstract readReview
In one paragraph

Review in Cureus, 2023. 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
–field-weighted citation impact
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.

  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

12 authors.

Anum KhakwaniInternal Medicine/Gastroenterology, Nishtar Medical University, Multan, PAK.
Manan TrivediDepartment of Surgery, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, IND.
Maham AfzalMedicine and Surgery, Shalamar Medical and Dental College, Lahore, PAK.
Puneet KahlonMedicine, American International Medical University, Gros Islet, LCA.
KholaInternal Medicine, Shalamar Medical and Dental College, Lahore, PAK.
Parakh PatelMedicine, American International Medical University, Gros Islet, LCA.
Punith Chowdary ChirumamillaInternal Medicine, Guntur Medical College, Guntur, IND.
Rimsha R VohraInternal Medicine, Dow University of Health Sciences, Karachi, PAK.
Rani RatheeshInternal Medicine, Dr MGR Medical University, Tamilnadu, IND.
Midhun MathewDepartment of Internal Medicine, Pennsylvania Hospital, Philadelphia, USA.
Zain U AbdinMedicine, District Head Quarter Hospital, Faisalabad, PAK.
Zahra NazirInternal Medicine/Clinical Research, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gastric Varices occur as a result of portal hypertension. Balloon Retrograde Transvenous Obliteration (BRTO) is a modality for managing gastric varices. The ultimate goal of this review is to promote the broader adoption of BRTO in managing gastric varices and to promote further research to improve patient outcomes. Before this study, an electronic literature search was undertaken based on identified concepts, keywords, and other pertinent descriptions. Search databases were developed and included "Gastric varices" AND "BRTO" OR "intervention" OR "treatment" OR "procedure" OR "glue" OR "adhesive".  The databases selected and thoroughly searched were PubMed, Cochrane Library and ScienceDirect. Following the first search, 274 articles were found in total. By applying inclusion criteria of full-text articles and a period of fewer than five years, the database was reduced to 37 articles, which was then further filtered to include only articles on adults over 19 years old, leaving a total count of 17 articles. BRTO is a relatively simple procedure to perform once the essential skill is attained and helpful in both emergency and elective management of gastric varices. Its use still needs to be improved by the unavailability and lack of skills. However, there are side effects associated with BRTO as it causes elevation of portal hypertension, recurrent bleeding, hemoglobinuria and pain post procedure. This review emphasizes the need for further research in this field, focusing on refining patient selection criteria, improving the technical aspect of the procedure and enhancing long-term outcomes.

Indexed as

balloon-occluded retrograde transvenous obliteration (brto)gastric varicesgi endoscopyhemorrhagetransjugular intrahepatic portosystemic shunt (tips

Identifiers

PMID37257163
PMCPMC10225054

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.