Evidence map›Paper›PMID 40161880›Full record

ArticleJournal of surgical case reports2025

Management of secondary fistulas following bariatric surgery using endoscopic vacuum-assisted closure.

Alberto Michel Macareno, Johanna Betzabe Cobos Román, Niurky De La Rosa Villa, Ariana Medina Estrada, Isaac Esparza Estrada

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 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. 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.

Alberto Michel MacarenoObesity Not 4 Me, Department of Bariatric and Metabolic Surgery, Río Médica, Leona Vicario 1451, 3er. Piso, Zona Urbana Rio Tijuana 22010 Tijuana, B.C., México.
Johanna Betzabe Cobos RománObesity Not 4 Me, Department of Bariatric and Metabolic Surgery, Río Médica, Leona Vicario 1451, 3er. Piso, Zona Urbana Rio Tijuana 22010 Tijuana, B.C., México.
Niurky De La Rosa VillaObesity Not 4 Me, Department of Bariatric and Metabolic Surgery, Río Médica, Leona Vicario 1451, 3er. Piso, Zona Urbana Rio Tijuana 22010 Tijuana, B.C., México.ORCID https://orcid.org/0009-0005-4855-4234
Ariana Medina EstradaObesity Not 4 Me, Department of Bariatric and Metabolic Surgery, Río Médica, Leona Vicario 1451, 3er. Piso, Zona Urbana Rio Tijuana 22010 Tijuana, B.C., México.
Isaac Esparza EstradaObesity Not 4 Me, Department of Bariatric and Metabolic Surgery, Río Médica, Leona Vicario 1451, 3er. Piso, Zona Urbana Rio Tijuana 22010 Tijuana, B.C., México.ORCID https://orcid.org/0000-0001-7032-819X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Obesity significantly impacts individuals' quality of life. Bariatric surgery, including vertical sleeve gastrectomy and gastric bypass, is effective for long-term weight loss but has increased post-bariatric complications like fistulas. We treated three patients with post-bariatric complications. Cases included a gastropleural fistula secondary to vertical sleeve gastrectomy and an esophagojejunal fistula secondary to Roux-en-Y gastric bypass. Endoscopic vacuum-assisted closure (EVAC) was used, applying continuous negative pressure via a polyurethane sponge connected to suction. The EVAC technique effectively managed complex post-bariatric fistulas, facilitating closure and improving outcomes. Patient selection and technical expertise are crucial for optimizing EVAC results. This innovative approach offers a promising solution for post-bariatric complications, enhancing recovery and quality of life.

Indexed as

bariatric surgeryendoscopic vacuum-assisted closure (EVAC)esophagojejunal fistulagastropleural fistulapostoperative complications

Identifiers

PMID40161880
PMCPMC11954368

What OpenQuestion holds

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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.