Evidence map›Paper›PMID 39989999›Full record

ArticleProceedings (Baylor University. Medical Center)2025

Current approaches for management of gastric varices in the United States: a survey of providers' attitudes and practices.

Mahmoud A Hashim, Khaled Elfert, Ahmed M Afifi, Manal Hassan, Ahmed Elkheshen, Harish Gagneja, Kalpesh Patel, Sanjaya Satapathy, Kris Kowdley, Prasun K Jalal

Abstract read
In one paragraph

Article in Proceedings (Baylor University. Medical Center), 2025. 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

10 authors.

Mahmoud A HashimDepartment of Internal Medicine, SBH Health System - St. Barnabas Hospital, New York City, New York, USA.ORCID https://orcid.org/0000-0002-5568-0408
Khaled ElfertDivision of Gastroenterology and Hepatology, West Virginia University, Morgantown, West Virginia, USA.
Ahmed M AfifiDepartment of Surgery, The University of Toledo Medical Center, Toledo, Ohio, USA.
Manal HassanDepartment of Medicine, Gastroenterology and Hepatology Division, Baylor College of Medicine, Houston, Texas, USA.
Ahmed ElkheshenDepartment of Internal Medicine, Charleston Area Medical Center, Charleston, West Virginia, USA.
Harish GagnejaAustin Gastroenterology, Austin, Texas, USA.
Kalpesh PatelDepartment of Medicine, Gastroenterology and Hepatology Division, Baylor College of Medicine, Houston, Texas, USA.
Sanjaya SatapathyDepartment of Medicine, Northwell Health, New York, New York, USA.
Kris KowdleyLiver Institute Northwest, Seattle, Washington, USA.ORCID https://orcid.org/0000-0002-8553-3652
Prasun K JalalDepartment of Medicine, Gastroenterology and Hepatology Division, Baylor College of Medicine, Houston, Texas, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Bleeding from gastric varices (GV) is more drastic and associated with higher mortality than that from esophageal varices. There are multiple therapeutic approaches for GV bleeding. Although endoscopic cyanoacrylate glue injection (ECGI) is recommended as the first-line management for GV bleeding worldwide, its implementation in the US is limited. We conducted a survey among health care providers to examine attitudes and practice related to GV management. Methods: Collected data were cleaned using SPSS V24. Summary statistics and graphical analyses for continuous and categorical variables were used to describe the data. Continuous variables with a normal distribution are presented as mean ± standard deviation. Results: A total of 339 providers completed the survey, for a response rate of 16.95%. Nearly a quarter of respondents reported performing ECGI in patients with GV bleeding. Male healthcare providers (odds ratio [OR]: 2.1, 95% confidence interval [CI] = 1.22-3.75, Conclusions: Our results indicate the underutilization of ECGI in GV patients among US endoscopists. Key hurdles are lack of training and approval from the US Food and Drug Administration.

Indexed as

Endoscopic cyanoacrylate glue injection; gastric variceal bleeding; varices; liver cirrhosis; survey

Identifiers

PMID39989999
PMCPMC11844930

What OpenQuestion holds

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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.