Evidence map›Paper›PMID 39758964›Full record

ArticleTherapeutic advances in gastroenterology2025

Impact of thrombocytopenia on failure of endoscopic variceal treatment in cirrhotic patients with acute variceal bleeding.

Yan He, Fernando Gomes Romeiro, Mingyu Sun, Fanpu Ji, Qiang Zhu, Yingli He, Dapeng Ma, Shanshan Yuan, Xiaofeng Liu, Cyriac Abby Philips and 14 more

Abstract read
In one paragraph

Article in Therapeutic advances in gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  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

24 authors.

Yan HeLiver Cirrhosis Study Group, Department of Gastroenterology, General Hospital of Northern Theater Command (Teaching Hospital of China Medical University), Shenyang, China.
Fernando Gomes RomeiroBotucatu Medical School, São Paulo State University, Botucatu, Brazil.
Mingyu SunInstitute of Liver Diseases, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Fanpu JiDepartment of Infectious Diseases, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Qiang ZhuDepartment of Infectious Disease, Shandong Provincial Hospital affiliated to Shandong First Medical University, Jinan, China.
Yingli HeDepartment of Infectious Diseases, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Dapeng MaDepartment of Critical Care Medicine, The Sixth People's Hospital of Dalian, Dalian, China.
Shanshan YuanDepartment of Gastroenterology, Xi'an Central Hospital, Xi'an, China.
Xiaofeng LiuDepartment of Gastroenterology, The 960th Hospital of Chinese PLA, Jinan, Shandong, China.
Cyriac Abby PhilipsDepartment of Clinical and Translational Hepatology, The Liver Institute, Center of Excellence in GI Sciences, Rajagiri Hospital, Kerala, India.
Metin BasaranogluGastroenterology and Hepatology, Bezmialem Vakif University, Istanbul, Turkey.
Nahum Méndez-SánchezMedica Sur Clinic, National Autonomous University of Mexico, Mexico City, Mexico.
Kanokwan PinyopornpanishDepartment of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Yiling LiDepartment of Gastroenterology, The First Hospital of China Medical University, Shenyang, China.ORCID https://orcid.org/0000-0003-3209-8105
Yunhai WuDepartment of Critical Care Medicine, The Sixth People's Hospital of Shenyang, Shenyang, China.
Ling YangDivision of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Lichun ShaoDepartment of Gastroenterology, Air Force Hospital of Northern Theater Command, Shenyang, China.
Andrea MancusoMedicina Interna 1, Azienda di Rilievo Nazionale ad Alta Specializzazione Civico-Di Cristina-Benfratelli, Palermo, Italy.
Yu ChenFourth Department of Liver Disease (Difficult & Complicated Liver Diseases and Artificial Liver Center), Beijing You'an Hospital Affiliated to Capital Medical University, Beijing, China.
Frank TackeDepartment of Hepatology and Gastroenterology, Charité-Universitätsmedizin Berlin, Campus Virchow-Klinikum and Campus Charité Mitte, Berlin, Germany.
Su LinLiver Research Center, The First Affiliated Hospital of Fujian Medical University, No. 20 Chazhong Road, Fuzhou 350000, Fujian, Chin.
Lei LiuDepartment of Infectious Diseases, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Bimin LiDepartment of Gastroenterology, The First Affiliated Hospital of Nanchang University, No. 17 Yongwai Zheng Street, Donghu District, Nanchang 330006, Jiangxi, China.
Xingshun QiLiver Cirrhosis Study Group, Department of Gastroenterology, General Hospital of Northern Theater Command (Teaching Hospital of China Medical University), No. 83 Wenhua Road, Shenyang 110840, Liaoning Province, China.ORCID https://orcid.org/0000-0002-9448-6739

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Acute variceal bleeding (AVB), a life-threatening complication of liver cirrhosis, can be effectively treated by endoscopy, but there is a risk of early rebleeding after endoscopic variceal treatment (EVT). Thrombocytopenia is the most common hemostatic abnormality in liver cirrhosis. However, it is still unclear about whether thrombocytopenia increases the failure of EVT in cirrhotic patients with AVB. Objectives: We investigated the association between thrombocytopenia and the failure of EVT in cirrhotic patients with AVB. Design: International multicenter, retrospective study. Methods: Overall, 2467 cirrhotic patients with acute gastrointestinal bleeding who were enrolled into an international multicenter study between September 30, 2020 and June 30, 2023 were retrospectively screened. Thrombocytopenia was defined as platelet count below 150 × 10 Results: Overall, 1079 patients were included, of whom 923 (85.5%) had thrombocytopenia, including mild ( Conclusion: Thrombocytopenia may not influence the efficacy of EVT in cirrhotic patients with AVB.

Indexed as

endoscopyfailure to control bleedingliver cirrhosisthrombocytopeniavariceal bleeding

Identifiers

PMID39758964
PMCPMC11700413

What OpenQuestion holds

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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.