ReviewFrontiers in surgery2026
Diagnostic and therapeutic challenges with malignant biliary tract and periampullary pathology in post-bariatric surgery.
Review in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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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.
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0 citing papers in PubMed.
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Authors and funding
3 authors.
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Abstract
Patients with prior bariatric surgery present unique challenges when diagnosed with malignant periampullary and biliary tract pathology. Surgically altered gastrointestinal anatomy has significant implications for both diagnostic evaluation and therapeutic intervention, precluding a universal management algorithm. Instead, these patients require an individualized approach to pre-operative assessment, operative planning, and post-operative care. Altered anatomy may influence symptom presentation, limit conventional endoscopic access to the biliary tree, and complicate surgical reconstruction. This review examines the implications of common bariatric procedures on the evaluation and management of periampullary malignancy and proposes a practical framework to guide pancreatic surgeons in the work-up and treatment of this complex patient population.
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