Evidence map›Paper›PMID 40859093›Full record

ArticleObesity surgery2025

Double Roux-en Y Configuration for Managing Chronic Leak After Conversional Roux-en Y Gastric Bypass.

Mohammad Kermansaravi, Shahab Shahabi Shahmiri, Taher Teimoury, Fahimeh Yarigholi, Keyvan Sabooni, Mohammad Minakari, Amir Hossein Davarpanah Jazi

Abstract readCase Reports
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In one paragraph

Article in Obesity surgery, 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

7 authors.

Mohammad KermansaraviDivision of Minimally Invasive and Bariatric Surgery, Department of Surgery, Minimally Invasive Research Center, Hazrat‑E Fatemeh Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Shahab Shahabi ShahmiriDivision of Minimally Invasive and Bariatric Surgery, Department of Surgery, Minimally Invasive Research Center, Hazrat‑E Fatemeh Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. shshahabi@yahoo.com.
Taher TeimouryMinimally Invasive Research Center, Iran University of Medical Sciences, Hazrat-E Fatemeh Hospital, Tehran, Iran. taherteimoury67@gmail.com.
Fahimeh YarigholiDivision of Minimally Invasive and Bariatric Surgery, Department of Surgery, Minimally Invasive Research Center, Hazrat‑E Fatemeh Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Keyvan SabooniMinimally Invasive Research Center, Iran University of Medical Sciences, Hazrat-E Fatemeh Hospital, Tehran, Iran.
Mohammad MinakariDepartment of Internal Medicine, Isfahan University of Medical Sciences, Isfahan, Iran, Islamic Republic O, Isfahan, Iran.
Amir Hossein Davarpanah JaziDivision of Minimally Invasive and Bariatric Surgery, Department of Surgery, Minimally Invasive Research Center, Hazrat‑E Fatemeh Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Staple line leak is one of the most critical complications after metabolic and bariatric surgery (MBS). In chronic cases, definitive surgical reconstruction remains the treatment of choice. We report the case of a 24-year-old female with a history of sleeve gastrectomy (SG), converted to Roux-en-Y gastric bypass (RYGB) 2 days later due to a gastroesophageal junction (GEJ) leak. Postoperatively, she developed a left subdiaphragmatic collection requiring percutaneous drainage. One year later, due to recurrent symptoms, left subdiaphragmatic abscess and a fistulous tract between the collection and the gastric pouch on CT scan, surgical intervention was performed, including fistulojejunostomy using a new Roux-en-Y limb at the leak site. At 6-month follow-up, the patient remained without complication. The double Roux-en-Y (RY) configuration, involving the creation of an end-to-side RY fistulojejunostomy, can be an effective and feasible surgical option.

Indexed as

Anastomotic LeakEsophagogastric JunctionGastrectomyGastric BypassObesity, MorbidAnastomosis, Roux-en-YFemaleHumansReoperationTreatment OutcomeYoung AdultBariatric surgeryChronic fistulaChronic leakDouble Roux-en-YFistulo-jejunostomy

Identifiers

PMID40859093

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.