Evidence map›Paper›PMID 40248442›Full record

ArticleDEN open2025

Analysis of the treatment outcome of duodenal varices: A retrospective case series of 15 patients from a single institution.

Yuri Mitamura, Eisuke Murakami, Ko Hashimoto, Tomoaki Emori, Aiko Tanaka, Yusuke Tanaka, Keiichi Hiraoka, Yuki Shirane, Masanari Kosaka, Yusuke Johira and 14 more

Abstract read
In one paragraph

Article in DEN open, 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. Successful Endoscopic Ethanol Injection and Clipping Treatment of Ruptured Duodenal Varices.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2025
    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

24 authors.

Yuri MitamuraDepartment of Gastroenterology Graduate School of Life Science Institute of Biomedical & Health Science Hiroshima University Hiroshima Japan.ORCID https://orcid.org/0009-0007-5389-0050
Eisuke MurakamiDepartment of Gastroenterology Graduate School of Life Science Institute of Biomedical & Health Science Hiroshima University Hiroshima Japan.
Ko HashimotoDepartment of Gastroenterology Graduate School of Life Science Institute of Biomedical & Health Science Hiroshima University Hiroshima Japan.
Tomoaki EmoriDepartment of Gastroenterology Graduate School of Life Science Institute of Biomedical & Health Science Hiroshima University Hiroshima Japan.
Aiko TanakaDepartment of Gastroenterology Graduate School of Life Science Institute of Biomedical & Health Science Hiroshima University Hiroshima Japan.
Yusuke TanakaDepartment of Gastroenterology Graduate School of Life Science Institute of Biomedical & Health Science Hiroshima University Hiroshima Japan.
Keiichi HiraokaDepartment of Gastroenterology Graduate School of Life Science Institute of Biomedical & Health Science Hiroshima University Hiroshima Japan.
Yuki ShiraneDepartment of Gastroenterology Graduate School of Life Science Institute of Biomedical & Health Science Hiroshima University Hiroshima Japan.
Masanari KosakaDepartment of Gastroenterology Graduate School of Life Science Institute of Biomedical & Health Science Hiroshima University Hiroshima Japan.
Yusuke JohiraDepartment of Gastroenterology Graduate School of Life Science Institute of Biomedical & Health Science Hiroshima University Hiroshima Japan.
Ryoichi MiuraDepartment of Gastroenterology Graduate School of Life Science Institute of Biomedical & Health Science Hiroshima University Hiroshima Japan.
Serami MurakamiDepartment of Gastroenterology Graduate School of Life Science Institute of Biomedical & Health Science Hiroshima University Hiroshima Japan.
Kenji YamaokaDepartment of Gastroenterology Graduate School of Life Science Institute of Biomedical & Health Science Hiroshima University Hiroshima Japan.
Yasutoshi FujiiDepartment of Gastroenterology Graduate School of Life Science Institute of Biomedical & Health Science Hiroshima University Hiroshima Japan.
Shinsuke UchikawaDepartment of Gastroenterology Graduate School of Life Science Institute of Biomedical & Health Science Hiroshima University Hiroshima Japan.
Hatsue FujinoDepartment of Gastroenterology Graduate School of Life Science Institute of Biomedical & Health Science Hiroshima University Hiroshima Japan.
Atsushi OnoDepartment of Gastroenterology Graduate School of Life Science Institute of Biomedical & Health Science Hiroshima University Hiroshima Japan.
Tomokazu KawaokaDepartment of Gastroenterology Graduate School of Life Science Institute of Biomedical & Health Science Hiroshima University Hiroshima Japan.
Daiki MikiDepartment of Gastroenterology Graduate School of Life Science Institute of Biomedical & Health Science Hiroshima University Hiroshima Japan.
Clair Nelson HayesDepartment of Gastroenterology Graduate School of Life Science Institute of Biomedical & Health Science Hiroshima University Hiroshima Japan.
Masataka TsugeDepartment of Gastroenterology Graduate School of Life Science Institute of Biomedical & Health Science Hiroshima University Hiroshima Japan.
Keigo ChosaDepartment of Diagnostic Radiology Graduate School of Biomedical and Health Sciences Hiroshima University Hiroshima Japan.
Kazuo AwaiDepartment of Diagnostic Radiology Graduate School of Biomedical and Health Sciences Hiroshima University Hiroshima Japan.
Shiro OkaDepartment of Gastroenterology Graduate School of Life Science Institute of Biomedical & Health Science Hiroshima University Hiroshima Japan.ORCID https://orcid.org/0000-0002-1652-0743

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background & aims: Duodenal varices (DVs) are a rare type of ectopic varices occurring in portal hypertension, for which no standardized treatment strategy has been established. This retrospective study analyzed the outcomes of DV treatments in 15 patients. Material and methods: All enrolled patients with DVs were treated at a single institution Hospital between 2011 and 2022. The treatment procedure and outcome were analyzed retrospectively. Results: Six patients presented with hemorrhagic DVs. Endoscopic variceal ligation was used for initial hemostasis in five bleeding cases. Balloon-occluded retrograde transvenous obliteration was the initial treatment in nine cases, achieving curative obliteration in eight cases. Percutaneous transhepatic variceal obliteration was performed as the initial treatment in three cases for which balloon-occluded retrograde transvenous obliteration was difficult to perform for anatomical reasons, and all cases achieved curative obliterations. Splenectomy was performed as the initial treatment in three patients due to complicating gastroesophageal varices. DVs recurred in two cases with splenectomy after approximately 1 year, but balloon-occluded retrograde transvenous obliteration and percutaneous transhepatic variceal obliteration were curatively applied in each case, and no recurrence has been observed since then. Gastroesophageal varices aggravated after the initial DV treatment in eight of the 15 cases during the observation period, and the cumulative aggravating rate was 58.1% at 4 years. Conclusion: All 15 cases with DVs were preferably controlled by selecting appropriate treatment based on individual hemodynamics of varices. Because of the relatively high rate of aggravation of gastroesophageal varices, careful long-term follow-up may be important for the treatment of DVs.

Indexed as

balloon‐occluded retrograde transvenous obliterationduodenal varicesendoscopic variceal ligation therapypercutaneous transhepatic variceal obliterationportal hypertension

Identifiers

PMID40248442
PMCPMC12003208

What Socratic holds

Textmetadata
LicenceCC BY
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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 Socratic graph.