Evidence map›Paper›PMID 40386338›Full record

ArticleJPGN reports2025

A clear approach: Hemostatic gel as a novel adjunct for pediatric upper gastrointestinal bleeding.

Natalia Plott, Audra Rougraff, Paroma Bose, Kyla M Tolliver, Shamaila Waseem, Brett J Hoskins

Abstract read
In one paragraph

Article in JPGN reports, 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

6 authors.

Natalia PlottDepartment of Pediatrics, Division of Pediatric Gastroenterology, Hepatology, and Nutrition Indiana University School of Medicine, Riley Hospital for Children at IU Health Indianapolis Indiana USA.ORCID https://orcid.org/0000-0002-2183-3306
Audra RougraffDepartment of Pediatrics, Division of Pediatric Gastroenterology, Hepatology, and Nutrition Indiana University School of Medicine, Riley Hospital for Children at IU Health Indianapolis Indiana USA.
Paroma BoseDepartment of Pediatrics, Division of Pediatric Gastroenterology, Hepatology, and Nutrition Indiana University School of Medicine, Riley Hospital for Children at IU Health Indianapolis Indiana USA.
Kyla M TolliverDepartment of Pediatrics, Division of Pediatric Gastroenterology, Hepatology, and Nutrition Indiana University School of Medicine, Riley Hospital for Children at IU Health Indianapolis Indiana USA.
Shamaila WaseemDepartment of Pediatrics, Division of Pediatric Gastroenterology, Hepatology, and Nutrition Indiana University School of Medicine, Riley Hospital for Children at IU Health Indianapolis Indiana USA.
Brett J HoskinsDepartment of Pediatrics, Division of Pediatric Gastroenterology, Hepatology, and Nutrition Indiana University School of Medicine, Riley Hospital for Children at IU Health Indianapolis Indiana USA.ORCID https://orcid.org/0000-0003-3048-5662

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pediatric upper gastrointestinal bleeding (UGIB) is a significant clinical concern, with a mortality rate of approximately 2%. Endoscopic management of UGIB in children includes various techniques such as injections, mechanical devices, thermal therapies, and topical agents. PuraStat®, a clear hemostatic gel, has been used in adults to create a physical barrier for hemostasis without obscuring the endoscopic view. However, its use in pediatric UGIB has not been well-documented. A review of four pediatric cases where PuraStat® was used to treat UGIB showed that it was applied as an adjunct to other hemostatic methods like clip placement or epinephrine injections, and in one case, as monotherapy for a large duodenal ulcer/site of recently contained perforation. The gel was easy to use, appeared to be beneficial, and was well-tolerated in this small cohort, although conclusions regarding its safety and efficacy are limited by the sample size.

Indexed as

hemostasispediatricspurastatself‐assembling peptide RADA16therapeutic endoscopy

Identifiers

PMID40386338
PMCPMC12078060

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.