Evidence map›Paper›PMID 40131729›Full record

ArticleAnnals of the Royal College of Surgeons of England2026

Recurrent ascending cholangitis secondary to food reflux following transduodenal resection of an ampullary adenoma.

M Fouad, M W James, A M Zaitoun, M Hanks, D N Lobo

Abstract readCase Reports
In one paragraph

Article in Annals of the Royal College of Surgeons of England, 2026. 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. 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.

M FouadUniversity of Nottingham, UK.ORCID 0000-0002-0964-190X
M W JamesUniversity of Nottingham, UK.ORCID 0000-0002-6438-8484
A M ZaitounUniversity of Nottingham, UK.ORCID 0000-0003-3351-6460
M HanksNottingham University Hospitals NHS Trust, UK.
D N LoboUniversity of Nottingham, UK.ORCID 0000-0003-1187-5796

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ampullary lesions, including adenomas and early-stage carcinomas, pose a diagnostic and therapeutic challenge because of their location and proximity to the pancreatic and bile ducts. Transduodenal ampullectomy offers a targeted approach for the resection of these lesions while preserving the integrity of the pancreaticobiliary system. Moreover, transduodenal ampullectomy is associated with favourable postoperative outcomes, including low rates of morbidity and mortality, as well as preservation of pancreatic and biliary function. However, potential complications such as ascending cholangitis pancreatic leakage, bleeding and duodenal stenosis can occur, which would impact the postoperative quality of life. Addressing these outcomes might require either endoscopic procedures or surgical interventions. We present an exceedingly uncommon case of recurrent ascending cholangitis resulting from reflux of food particles into the common bile duct that was treated successfully with a Roux-en-Y hepaticojejunostomy and gastroenterostomy.

Indexed as

AdenomaAmpulla of VaterBile RefluxCholangitisCommon Bile Duct NeoplasmsPostoperative ComplicationsAgedAnastomosis, Roux-en-YFemaleHumansRecurrenceAmpulla of VaterBiliary lithiasisFood refluxRecurrent cholangitisTransduodenal ampullectomy

Identifiers

PMID40131729
PMCPMC12718741

What OpenQuestion holds

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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 OpenQuestion graph.