Evidence map›Paper›PMID 42058263›Full record

ReviewDEN open2027

Endoscopic Thrombin Injection for Gastric Variceal Bleeding: A Systematic Review and Meta-Analysis of Observational and Trial Data.

Wen Xu, Da-Qin Zhan, Ruo-Lan Wang, Shu Jin, Hui-Guo Ding

Abstract readReview
In one paragraph

Review in DEN open, 2027. 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.

Wen XuDepartment of Gastroenterology and Hepatology Beijing Youan Hospital Capital Medical University Beijing China.ORCID https://orcid.org/0000-0002-6348-4802
Da-Qin ZhanDepartment of Gastroenterology Taihe Hospital Hubei University of Medicine Shiyan China.
Ruo-Lan WangDepartment of Pediatrics Taihe Hospital Hubei University of Medicine Shiyan China.
Shu JinDepartment of Gastroenterology Taihe Hospital Hubei University of Medicine Shiyan China.
Hui-Guo DingDepartment of Gastroenterology and Hepatology Beijing Youan Hospital Capital Medical University Beijing China.ORCID https://orcid.org/0000-0002-8716-4926

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The safety of endoscopic thrombin injection (ETI) for treating the bleeding of gastric varix (GV) in patients with portal hypertension requires further evaluation. This meta-analysis systematically reviews the available evidence on the efficacy and safety of ETI for GV bleeding. Methods: Two researchers independently screened and extracted data from all relevant original articles published from database inception to May 2025. Study quality was assessed using the Methodological Index for Non-Randomized Studies tool. Meta-analysis was performed using RevMan 5.3 software, with risk of bias assessed via risk of bias plots and funnel plots. Results: Thirteen studies involving 417 patients were included. Meta-analysis revealed an initial hemostasis rate of 93% (95% confidence interval [ Conclusion: Endoscopic thrombin injection for GV bleeding appears to achieve high initial hemostasis with low rates of rebleeding in the available studies. Reported complication rates were low, though systematic assessment was not consistently described across studies. It is suggested the potential efficacy and an acceptable safety profile within the available evidences.

Indexed as

endoscopic cyanoacrylate injectionendoscopic treatmentgastric varicessingle‐arm meta‐analysisthrombin

Identifiers

PMID42058263
PMCPMC13121583

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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.