Evidence map›Paper›PMID 41059103›Full record

ReviewJGH open : an open access journal of gastroenterology and hepatology2025

Administration of Metoclopramide Prior to Endoscopy for Acute Upper Gastrointestinal Bleeding: A Systematic Review and GRADE Meta-Analysis of Randomized Controlled Trials.

Muhammad Hassan Waseem, Zain Ul Abideen, Ayesha Ahmed, Barka Sajid, Noor Ul Huda Ramzan, Amina Tahir, Sania Aimen, Muhammad Arslan Tariq, Aleeza Afzal, Pawan Kumar Thada and 1 more

Abstract readReview
In one paragraph

Review in JGH open : an open access journal of gastroenterology and hepatology, 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. Review
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

11 authors.

Muhammad Hassan WaseemAllama Iqbal Medical College Lahore Pakistan.
Zain Ul AbideenKing Edward Medical University Lahore Pakistan.ORCID https://orcid.org/0009-0001-8990-7738
Ayesha AhmedKing Edward Medical University Lahore Pakistan.
Barka SajidJinnah Sindh Medical University Karachi Pakistan.ORCID https://orcid.org/0009-0001-2304-2196
Noor Ul Huda RamzanUT Southwestern Medical Center Dallas Texas USA.
Amina TahirKing Edward Medical University Lahore Pakistan.
Sania AimenQuetta Institute of Medical Sciences Quetta Pakistan.
Muhammad Arslan TariqAllama Iqbal Medical College Lahore Pakistan.
Aleeza AfzalAllama Iqbal Medical College Lahore Pakistan.
Pawan Kumar ThadaSotang Primary Hospital Solukhumbu Nepal.ORCID https://orcid.org/0000-0002-2085-8739
Ameer Haider CheemaUT Southwestern Medical Center Dallas Texas USA.ORCID https://orcid.org/0009-0002-2508-4370

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute Upper Gastrointestinal Bleeding (UGIB) is a critical condition where endoscopy is often hindered by poor visibility. This meta-analysis assesses the safety and efficacy of metoclopramide as a pre-endoscopic aid to improve visualization. Databases including PubMed, Cochrane Library, ScienceDirect, and Google Scholar were searched from inception till October 2024. Review Manager 5.4.1 software was utilized to combine standard and weighted mean differences as well as risk ratios for continuous and dichotomous outcomes, respectively. Quality assessment was carried out by the Cochrane Risk of Bias Tool 2.0. Publication bias was assessed through funnel plots. GRADE assessment was conducted to determine the certainty of the evidence. The protocol of this review was registered on PROSPERO under the ID CRD42024569658. A total of eight studies were included, resulting in a pooling of 665 patients. Metoclopramide significantly increases the Endoscopic Visualization Score of the Fundus (SMD = 0.30, 95% CI: [0.12, 0.47];

Indexed as

acute upper gastrointestinal bleeding (UGIB)endoscopymetoclopramidepre‐endoscopic treatment

Identifiers

PMID41059103
PMCPMC12497892

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.