Evidence map›Paper›PMID 40692706›Full record

ArticleJournal of surgical case reports2025

Rethinking biliary reconstruction: alternatives to standard Roux-en-Y hepaticojejunostomy.

Omar Barakat, Samuel P Creden, David M Holmes, Waleed Ageedi

Erratum issuedAbstract readCase Reports
PubMed Full text at PMC Publisher
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. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Omar BarakatDepartment of Surgery, Division of Surgical Oncology and Hepatobiliary and Pancreas Surgery, Baylor College of Medicine, 7200 Cambridge St., 7th Floor, Houston, TX 77030, United States.ORCID https://orcid.org/0009-0002-5057-980X
Samuel P CredenDepartment of Surgery, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, United States.ORCID https://orcid.org/0000-0001-8996-572X
David M HolmesDepartment of Surgery, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, United States.ORCID https://orcid.org/0000-0003-1613-7987
Waleed AgeediDepartment of Surgery, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, United States.ORCID https://orcid.org/0000-0002-0393-1754

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Roux-en-Y hepaticojejunostomy enables tension-free bile-duct reconstruction and minimizes reflux. However, factors like a short mesentery or severe peri-hilar inflammation may prevent the jejunal loop from reaching the hepatic hilum, making safe anastomosis unfeasible. We have developed a novel surgical technique that overcomes these challenges. In this case report, we describe our triple bypass technique, in which a vascularized gastric tube graft is anastomosed to the common bile duct, and we present short-term outcomes from the use of this technique in a patient with chronic pancreatitis; overall, this patient recovered well, with a viable graft and no leakage. This novel technique expands surgical options for complex extrahepatic bile-duct reconstruction.

Indexed as

bile duct obstructionbiliary tract surgical procedureshepaticojejunostomyRoux-en-Y anastomosis

Identifiers

PMID40692706
PMCPMC12279047

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.