Evidence map›Paper›PMID 40201902›Full record

ArticleJournal of surgical case reports2025

Early small bowel obstruction by phytobezoar related to zopiclone induced amnesia after revisional Roux-en-Y gastric bypass: a case report.

Bernarda Patiño-Araujo, María E Salgado-Báez, Gabriel P Villavicencio-Logroño, María J Ayora-Pérez, Gabriela S Zapata-Jaramillo, Napoleón Salgado-Macías

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. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Bernarda Patiño-AraujoClínica Bariátrica Dr. Napoleón Salgado, Av. Mariana de Jesús OE7-02 y Nuño de Valderrama, CITIMED, 170509 Quito, Ecuador.ORCID https://orcid.org/0009-0000-4981-7618
María E Salgado-BáezClínica Bariátrica Dr. Napoleón Salgado, Av. Mariana de Jesús OE7-02 y Nuño de Valderrama, CITIMED, 170509 Quito, Ecuador.ORCID https://orcid.org/0009-0007-3039-3190
Gabriel P Villavicencio-LogroñoClínica Bariátrica Dr. Napoleón Salgado, Av. Mariana de Jesús OE7-02 y Nuño de Valderrama, CITIMED, 170509 Quito, Ecuador.ORCID https://orcid.org/0009-0003-3033-1265
María J Ayora-PérezClínica Bariátrica Dr. Napoleón Salgado, Av. Mariana de Jesús OE7-02 y Nuño de Valderrama, CITIMED, 170509 Quito, Ecuador.ORCID https://orcid.org/0000-0002-9217-7238
Gabriela S Zapata-JaramilloClínica Bariátrica Dr. Napoleón Salgado, Av. Mariana de Jesús OE7-02 y Nuño de Valderrama, CITIMED, 170509 Quito, Ecuador.ORCID https://orcid.org/0009-0009-1231-5396
Napoleón Salgado-MacíasClínica Bariátrica Dr. Napoleón Salgado, Av. Mariana de Jesús OE7-02 y Nuño de Valderrama, CITIMED, 170509 Quito, Ecuador.ORCID https://orcid.org/0009-0003-1198-0833

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This case report details an unusual instance of small bowel obstruction occurring within 48 h after a successful Roux-en-Y gastric bypass (RYGB) procedure. A 59-year-old woman, who had undergone a revisional RYGB and was discharged 24 h post-surgery, returned to the emergency department with acute epigastric pain and vomiting at the 48-h mark. A contrast computed tomography scan revealed dilated small bowel loops, right pleural effusion, and some free gas. An emergency laparoscopy identified an obstruction at the jejunojejunal anastomosis caused by undigested food, including seeds. The obstructive material was removed, and the anastomosis was reconstructed. Subsequent psychiatric evaluation revealed the patient's abuse of zopiclone, taken at four times the recommended dose. This misuse likely led to anterograde amnesia, resulting in unreported dietary indiscretions. This case underscores the importance of comprehensive medication history and patient education to mitigate risks associated with medication misuse and non-compliance.

Indexed as

case reportphytobezoarrevisional gastric bypasssmall bowel obstruction

Identifiers

PMID40201902
PMCPMC11978281

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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 OpenQuestion graph.