Evidence map›Paper›PMID 41058806›Full record

ArticleCureus2025

Surgical Management of Candy Cane Syndrome After Roux-en-Y Gastric Bypass: A Case Report Highlighting Diagnostic and Therapeutic Considerations.

John Salib, Mark Salib, Olivia Mesdjian, Ujwal Yogesh, David Hernandez, Frederick Tiesenga

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. 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.

John SalibSchool of Medicine, St. George's University School of Medicine, St. George's, GRD.
Mark SalibSchool of Medicine, St. George's University School of Medicine, St. George's, GRD.
Olivia MesdjianSchool of Medicine, St. George's University School of Medicine, St. George's, GRD.
Ujwal YogeshSchool of Medicine, Washington University of Health and Science, Belize City, BLZ.
David HernandezSchool of Medicine, St. George's University School of Medicine, St. George's, GRD.
Frederick TiesengaGeneral Surgery, West Suburban Medical Center, Chicago, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Candy cane syndrome (CCS) is a rare complication of Roux-en-Y gastric bypass, caused by a redundant blind afferent limb at the gastrojejunostomy anastomosis. It typically presents with persistent postprandial abdominal pain, nausea, and vomiting, significantly impacting quality of life. We report the case of a 39-year-old woman who developed chronic upper abdominal discomfort two years after Roux-en-Y gastric bypass. Symptoms persisted despite conservative management, and CCS was ultimately identified as the underlying cause. Surgical resection of the redundant limb was performed, resulting in marked symptomatic relief. This case highlights the critical role of clinical suspicion and timely surgical intervention in the recognition and management of CCS while underscoring its significant impact on function and quality of life in post-bariatric surgery patients.

Indexed as

bariatric surgerycandy cane syndromecase reportcomplicationlaparoscopic roux-en-y gastric bypasspost-op complicationsredundant limbroux-en-y limbsurgical case reportssurgical management

Identifiers

PMID41058806
PMCPMC12498561

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.