Evidence map›Paper›PMID 39803101›Full record

ArticleCureus2024

Complications of Post-Roux-en-Y Gastric Bypass: A Case of Excluded Stomach Perforation.

C Ryan Williams, Nathaniel Grabill, Mena Louis, Deepak Dev Vivekanandan, Timothy Stevens

Abstract readCase Reports
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

5 authors.

C Ryan WilliamsGeneral Surgery, Northeast Georgia Medical Center Gainesville, Gainesville, USA.
Nathaniel GrabillGeneral Surgery, Northeast Georgia Medical Center Gainesville, Gainesville, USA.
Mena LouisGeneral Surgery, Northeast Georgia Medical Center Gainesville, Gainesville, USA.
Deepak Dev VivekanandanGeneral Surgery, Northeast Georgia Medical Center Gainesville, Gainesville, USA.
Timothy StevensTrauma and Acute Care Surgery, Northeast Georgia Medical Center Gainesville, Gainesville, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Roux-en-Y gastric bypass (RYGB) is a common surgical treatment for morbid obesity, but rare complications involving the excluded gastric remnant can pose significant challenges. A 65-year-old female with a history of RYGB presented with sudden onset of left upper quadrant abdominal pain, bloating, nausea, and loss of appetite. Laboratory tests revealed leukocytosis. An initial CT scan showed significant distention of the excluded stomach, suggesting possible obstruction. While preparing for percutaneous decompression, her abdominal pain worsened acutely. A repeat CT scan demonstrated decompression of the excluded stomach and new free fluid in the abdomen, indicating a perforation. Emergent exploratory laparotomy uncovered a large necrotic perforation in the excluded gastric remnant and extensive adhesions from prior surgeries. A partial gastrectomy and antrectomy were performed to remove the perforated tissue. Pathological examination revealed ulcerated gastric mucosa with acute and chronic inflammation, reactive gastropathy, and no evidence of

Indexed as

bariatric surgerygastric bypassmorbid obesitystomach ruptureulcer

Identifiers

PMID39803101
PMCPMC11723776

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.