Evidence map›Paper›PMID 40917205›Full record

ArticleJournal of metabolic and bariatric surgery2025

Atypical Biliary Fistula After Revisional Bariatric Surgery: A Case Report.

Venkata Pavan Kumar Karanam, Aarsh Mukeshbhai Panchal, Suresh Kumar Sepuri, Lakshmi Kumar Chalamarla, Phani Krishna Ravula

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of metabolic and bariatric 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

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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.

Venkata Pavan Kumar KaranamDepartment of Surgical Gastroenterology, Pace Hospitals, Hyderabad, India.ORCID https://orcid.org/0000-0002-5143-6205
Aarsh Mukeshbhai PanchalDepartment of Surgical Gastroenterology, Pace Hospitals, Hyderabad, India.
Suresh Kumar SepuriDepartment of Surgical Gastroenterology, Pace Hospitals, Hyderabad, India.
Lakshmi Kumar ChalamarlaDepartment of Interventional Radiology, Pace Hospitals, Hyderabad, India.
Phani Krishna RavulaDepartment of Surgical Gastroenterology, Pace Hospitals, Hyderabad, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Obesity affects about 39% of the global population, and bariatric surgery is a leading treatment option. As the number of primary bariatric procedures increases, so does the demand for revisional bariatric surgeries (RBSs), which are often more complex and associated with increased risks of complications. This case report details an unusual complication of RBS that surgeons should be aware of. A 41-year-old male patient with morbid obesity, after an initial sleeve gastrectomy, experienced weight regain due to gastric pouch dilatation and underwent conversion to mini-gastric bypass. Postoperatively however, he presented with recurrent left subhepatic abscess. Evaluation revealed left ductal leak from undersurface of liver as cause of recurrent liver abscess. Surgical intervention in the form of left lateral sectionectomy, resolved the symptoms. This case underscores the complexities and potential complications associated with RBS, highlighting the need for meticulous adhesiolysis between stomach and left liver during revisional gastric surgeries.

Indexed as

Abdominal abscessBariatric surgeriesBiliary fistulaSurgical revision

Identifiers

PMID40917205
PMCPMC12411140

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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.