Evidence map›Paper›PMID 40351907›Full record

ArticleCureus2025

Perforated Duodenal Ulcer 24 Years After Roux-en-Y Gastric Bypass: A Rare Presentation With Pneumoperitoneum.

Amber Chen-Goodspeed, Nicholas Jonas, Stephen Merola, Jason Sample

Abstract readCase Reports
In one paragraph

Article in Cureus, 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

4 authors.

Amber Chen-GoodspeedDepartment of Surgery, NewYork-Presbyterian Queens Hospital, New York City, USA.
Nicholas JonasDepartment of General Surgery, NewYork-Presbyterian Queens Hospital, New York City, USA.
Stephen MerolaDepartment of Clinical Surgery, NewYork-Presbyterian/Weill Cornell Medical Center, New York City, USA.
Jason SampleDepartment of Clinical Surgery, NewYork-Presbyterian/Weill Cornell Medical Center, New York City, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Perforated duodenal ulcers post Roux-en-Y gastric bypass (RYGB) are rare, with fewer than 30 documented cases. Diagnosis can be challenging due to the absence of pneumoperitoneum on cross-sectional imaging, seen in only five published cases.  A 67-year-old female patient, 24 years post RYGB, presented with diffuse abdominal pain, fever, hypotension, and tachycardia following recent nonsteroidal anti-inflammatory drugs (NSAIDs) use. Laboratory findings showed leukopenia and elevated lipase. Computed tomography (CT) imaging revealed pneumoperitoneum, prompting emergent exploratory laparotomy. A 0.5 cm duodenal perforation was identified and repaired with omental plication. Postoperatively, the patient developed bacteremia and intra-abdominal abscess requiring prolonged antibiotics and percutaneous drainage. Empiric

Indexed as

bariatricbariatric follow upbariatric surgery complicationsduodenal perforationduodenal ulcersroux-en-y gastric bypass (rygb)rygb complicationsrygb surgery

Identifiers

PMID40351907
PMCPMC12066166

What OpenQuestion 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 OpenQuestion graph.