Evidence map›Paper›PMID 40486312›Full record

ArticleCureus2025

Transjugular Intrahepatic Porto-Systemic Shunt (TIPS), Mesenteric Vein Recanalization, and Rectal Varices Embolization Following Unsuccessful Endoscopic Management: A Case Report and Literature Review.

Sayantan Patra, Sabharisundaravel Paulraj, Anadi Gupta, Rohit K Khandelwal, Shuvro H Roy Choudhury

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Sayantan PatraInterventional Radiology, Rabindranath Tagore International Institute of Cardiac Sciences, Kolkata, IND.
Sabharisundaravel PaulrajInterventional Radiology, Narayana Health, Kolkata, IND.
Anadi GuptaInterventional Radiology, Narayana Health, Kolkata, IND.
Rohit K KhandelwalInterventional Radiology, Narayana Health, Kolkata, IND.
Shuvro H Roy ChoudhuryInterventional Radiology, Narayana Health, Kolkata, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rectal varices are rectal submucosal porto-systemic collaterals that develop secondary to portal hypertension in chronic liver disease. Bleeding from rectal varices is rare but potentially life-threatening. The management is typically endoscopic, with endovascular and surgical options for refractory cases. We present a case of endovascular salvage in a 58-year-old male patient with rectal varices causing life-threatening hematochezia, unresponsive to endoscopic procedures. Extensive rectal varices secondary to mesenteric venous obstruction were successfully managed with transjugular intrahepatic porto-systemic shunting (TIPS), mesenteric vein revascularization, and variceal glue embolization. Immediate technical and clinical success was followed by a long recurrence-free interval. The report highlights the importance of image-guided interventions for recalcitrant rectal variceal bleeding.

Indexed as

bleeding rectal varicesembolization/embolotherapyendoscopic managementendovascular managementtipsstrans-tipss approachuncompensated chronic liver disease

Identifiers

PMID40486312
PMCPMC12143930

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.