{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T00:55:25Z","timestamp":1772844925521,"version":"3.50.1"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,6]]},"DOI":"10.7759\/cureus.104770","type":"journal-article","created":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T14:43:52Z","timestamp":1772808232000},"source":"Crossref","is-referenced-by-count":0,"title":["Hematemesis From Downhill Esophageal Varices Secondary to Superior Vena Cava Occlusion in a Patient With a Hemodialysis Catheter: A Case Report"],"prefix":"10.7759","author":[{"given":"Saleem","family":"Jahangir","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed S","family":"Algahtani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khalid","family":"Alomar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdullah","family":"Alfozan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bader","family":"Alsuwailem","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Majdi","family":"Ibrahim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saad","family":"Bin Ayeed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tariq","family":"Wani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulwali","family":"Alwan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","article-title":"Downhill esophageal varices: a systematic review of the case reports","volume":"3","author":"Ali H","year":"2022","unstructured":"Ali H, Pamarthy R, Bolick NL, Ali E, Paleti S, Kapuria D. Downhill esophageal varices: a systematic review of the case reports. Explor Med. 2022, 3:317-30.","journal-title":"Explor Med"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.21037\/atm.2018.11.13","article-title":"Downhill esophageal varices: a therapeutic dilemma","volume":"6","author":"Chakinala RC","year":"2018","unstructured":"Chakinala RC, Kumar A, Barsa JE, et al.. Downhill esophageal varices: a therapeutic dilemma. Ann Transl Med. 2018, 6:463. 10.21037\/atm.2018.11.13","journal-title":"Ann Transl Med"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1080\/07853890.2025.2462452","article-title":"An overview of downhill esophageal varices: a challenge for medical practice","volume":"57","author":"Wang D","year":"2025","unstructured":"Wang D, Ma Z. An overview of downhill esophageal varices: a challenge for medical practice. Ann Med. 2025, 57:2462452. 10.1080\/07853890.2025.2462452","journal-title":"Ann Med"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-139X.2007.00242.x","article-title":"Central vein stenosis: a nephrologist's perspective","volume":"20","author":"Agarwal AK","year":"2007","unstructured":"Agarwal AK, Patel BM, Haddad NJ. Central vein stenosis: a nephrologist's perspective. Semin Dial. 2007, 20:53-62. 10.1111\/j.1525-139X.2007.00242.x","journal-title":"Semin Dial"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/7638496","article-title":"Are downhill varices an overlooked entity of upper gastrointestinal bleedings?","volume":"2018","author":"Ayvaz MA","year":"2018","unstructured":"Ayvaz MA, Rakici H, Allescher HD. Are downhill varices an overlooked entity of upper gastrointestinal bleedings?. Gastroenterol Res Pract. 2018, 2018:7638496. 10.1155\/2018\/7638496","journal-title":"Gastroenterol Res Pract"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfy150","article-title":"Superior vena cava stenosis in haemodialysis patients with a tunnelled cuffed catheter: prevalence and risk factors","volume":"33","author":"Labriola L","year":"2018","unstructured":"Labriola L, Seront B, Crott R, Borceux P, Hammer F, Jadoul M. Superior vena cava stenosis in haemodialysis patients with a tunnelled cuffed catheter: prevalence and risk factors. Nephrol Dial Transplant. 2018, 33:2227-33. 10.1093\/ndt\/gfy150","journal-title":"Nephrol Dial Transplant"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.7861\/clinmedicine.19-3s-s5","article-title":"A rare case of oesophageal variceal bleed secondary to dialysis catheter-induced superior vena cava stenosis and thrombosis","volume":"19","author":"Thiagarajan AP","year":"2019","unstructured":"Thiagarajan AP, Al-Chidadi A, Kar S, Kleemann F, Pal S, Arsalanizadeh B, Krijgsman B. A rare case of oesophageal variceal bleed secondary to dialysis catheter-induced superior vena cava stenosis and thrombosis. Clin Med (Lond). 2019, 19:5. 10.7861\/clinmedicine.19-3s-s5","journal-title":"Clin Med (Lond)"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1186\/s12876-016-0548-7","article-title":"Bleeding \"downhill\" esophageal varices associated with benign superior vena cava obstruction: case report and literature review","volume":"16","author":"Loudin M","year":"2016","unstructured":"Loudin M, Anderson S, Schlansky B. Bleeding \"downhill\" esophageal varices associated with benign superior vena cava obstruction: case report and literature review. BMC Gastroenterol. 2016, 16:134. 10.1186\/s12876-016-0548-7","journal-title":"BMC Gastroenterol"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.3389\/fneph.2023.1280666","article-title":"Central vein stenosis in hemodialysis vascular access: clinical manifestations and contemporary management strategies","volume":"3","author":"Echefu G","year":"2023","unstructured":"Echefu G, Stowe I, Lukan A, et al.. Central vein stenosis in hemodialysis vascular access: clinical manifestations and contemporary management strategies. Front Nephrol. 2023, 3:1280666. 10.3389\/fneph.2023.1280666","journal-title":"Front Nephrol"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.sopen.2023.09.001","article-title":"Outcomes in patients managed with endovascular stent for malignant superior vena cava syndrome","volume":"16","author":"Guerrero-Mac\u00edas S","year":"2023","unstructured":"Guerrero-Mac\u00edas S, Beltr\u00e1n J, Buitrago R, Beltr\u00e1n R, Carre\u00f1o J, Carvajal-Fierro C. Outcomes in patients managed with endovascular stent for malignant superior vena cava syndrome. Surg Open Sci. 2023, 16:16-21. 10.1016\/j.sopen.2023.09.001","journal-title":"Surg Open Sci"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2020.12.007","article-title":"Medicare reimbursement trends for interventional radiology procedures: 2012 to 2020","volume":"32","author":"Schartz D","year":"2021","unstructured":"Schartz D, Young E. Medicare reimbursement trends for interventional radiology procedures: 2012 to 2020. J Vasc Interv Radiol. 2021, 32:447-52. 10.1016\/j.jvir.2020.12.007","journal-title":"J Vasc Interv Radiol"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.vgie.2021.03.008","article-title":"Active bleeding from downhill varices: case report and management","volume":"6","author":"Ali AA","year":"2021","unstructured":"Ali AA, Jadeja S, Agrawal N, Lamsal S, Patel S, De Souza Ribeiro B. Active bleeding from downhill varices: case report and management. VideoGIE. 2021, 6:305-7. 10.1016\/j.vgie.2021.03.008","journal-title":"VideoGIE"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.13840","article-title":"Recurrent hematemesis from downhill esophageal varices: a therapeutic challenge for gastroenterologists","volume":"13","author":"Ali H","year":"2021","unstructured":"Ali H, Sarfraz S, Sarfraz A. Recurrent hematemesis from downhill esophageal varices: a therapeutic challenge for gastroenterologists. Cureus. 2021, 13:e13840. 10.7759\/cureus.13840","journal-title":"Cureus"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.14309\/01.ajg.0000961964.16549.1a","article-title":"S3081 a case of downhill esophageal varices secondary to prior hemodialysis catheter placement","volume":"118","author":"Pence CJ","year":"2023","unstructured":"Pence CJ, Fomin V, Gogokhia L, Schwartz R, Lukin D, Wan D. S3081 a case of downhill esophageal varices secondary to prior hemodialysis catheter placement. Official J Am Coll Gastroenterol. 2023, 118:10.14309\/01.ajg.0000961964.16549.1a","journal-title":"Official J Am Coll Gastroenterol"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm-conference.2019.199.1_MeetingAbstracts.A3561","article-title":"Downhill esophageal varices caused by superior vena cava stenosis from a hemodialysis catheter: a case report","volume":"199","author":"Horst J","year":"2019","unstructured":"Horst J, Patel J, Gamino A. Downhill esophageal varices caused by superior vena cava stenosis from a hemodialysis catheter: a case report. Am J Respir Crit Care Med. 2019, 199:A3561. 10.1164\/ajrccm-conference.2019.199.1_MeetingAbstracts.A3561","journal-title":"Am J Respir Crit Care Med"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/468659-hematemesis-from-downhill-esophageal-varices-secondary-to-superior-vena-cava-occlusion-in-a-patient-with-a-hemodialysis-catheter-a-case-report","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T14:43:53Z","timestamp":1772808233000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/468659-hematemesis-from-downhill-esophageal-varices-secondary-to-superior-vena-cava-occlusion-in-a-patient-with-a-hemodialysis-catheter-a-case-report"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,6]]},"references-count":15,"URL":"https:\/\/doi.org\/10.7759\/cureus.104770","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3,6]]}}}