{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T09:05:38Z","timestamp":1782119138435,"version":"3.54.5"},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T00:00:00Z","timestamp":1748995200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T00:00:00Z","timestamp":1748995200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["OBES SURG"],"published-print":{"date-parts":[[2025,7]]},"DOI":"10.1007\/s11695-025-07950-1","type":"journal-article","created":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T17:25:49Z","timestamp":1749057949000},"page":"2655-2662","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Post Roux-en-Y Gastric Bypass Challenges: Gastrogastric Fistula After Marginal Ulcer Development"],"prefix":"10.1007","volume":"35","author":[{"given":"Agustina A","family":"Pontecorvo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Cornejo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamar","family":"Tsenteradze","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Bowers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrique F","family":"Elli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,6,4]]},"reference":[{"issue":"6","key":"7950_CR1","first-page":"e25762","volume":"14","author":"D Chacon","year":"2022","unstructured":"Chacon D, Bernardino T, Geraghty F, Carrion Rodriguez A, Fiani B, Chadhaury A, et al. Bariatric surgery with Roux-En-Y gastric bypass or sleeve gastrectomy for treatment of obesity and comorbidities: current evidence and practice. Cureus. 2022;14(6):e25762.","journal-title":"Cureus"},{"issue":"4","key":"7950_CR2","doi-asserted-by":"publisher","first-page":"457","DOI":"10.1016\/j.soard.2019.12.022","volume":"16","author":"WJ English","year":"2020","unstructured":"English WJ, DeMaria EJ, Hutter MM, Kothari SN, Mattar SG, Brethauer SA, et al. American society for metabolic and bariatric surgery 2018 estimate of metabolic and bariatric procedures performed in the United States. Surg Obes Relat Dis. 2020;16(4):457\u201363.","journal-title":"Surg Obes Relat Dis"},{"issue":"1","key":"7950_CR3","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1016\/j.surg.2021.02.002","volume":"170","author":"AA Alalwan","year":"2021","unstructured":"Alalwan AA, Friedman J, Park H, Segal R, Brumback BA, Hartzema AG. US national trends in bariatric surgery: a decade of study. Surgery. 2021;170(1):13\u20137.","journal-title":"Surgery"},{"issue":"2","key":"7950_CR4","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1016\/j.suc.2020.12.008","volume":"101","author":"K Mirkin","year":"2021","unstructured":"Mirkin K, Alli VV, Rogers AM. Revisional bariatric surgery. Surg Clin North Am. 2021;101(2):213\u201322.","journal-title":"Surg Clin North Am"},{"issue":"5","key":"7950_CR5","doi-asserted-by":"publisher","first-page":"952","DOI":"10.1016\/j.soard.2014.02.014","volume":"10","author":"SA Brethauer","year":"2014","unstructured":"Brethauer SA, Kothari S, Sudan R, Williams B, English WJ, Brengman M, et al. Systematic review on reoperative bariatric surgery: American society for metabolic and bariatric surgery revision task force. Surg Obes Relat Dis. 2014;10(5):952\u201372.","journal-title":"Surg Obes Relat Dis."},{"key":"7950_CR6","doi-asserted-by":"crossref","unstructured":"Salame M, Jawhar N, Belluzzi A, Al-Kordi M, Storm AC, Abu Dayyeh BK, et al. Marginal ulcers after Roux-en-Y gastric bypass: etiology, diagnosis, and management. J Clin Med. 2023;12(13).","DOI":"10.3390\/jcm12134336"},{"issue":"5","key":"7950_CR7","doi-asserted-by":"publisher","first-page":"2347","DOI":"10.1007\/s00464-020-07650-0","volume":"35","author":"A Di Palma","year":"2021","unstructured":"Di Palma A, Liu B, Maeda A, Anvari M, Jackson T, Okrainec A. Marginal ulceration following Roux-en-Y gastric bypass: risk factors for ulcer development, recurrence and need for revisional surgery. Surg Endosc. 2021;35(5):2347\u201353.","journal-title":"Surg Endosc"},{"issue":"5","key":"7950_CR8","doi-asserted-by":"publisher","first-page":"1536","DOI":"10.1007\/s11695-024-07179-4","volume":"34","author":"J Cornejo","year":"2024","unstructured":"Cornejo J, Evans LA, Celik NB, Elli EF. Early marginal ulcer after Roux-en-Y gastric bypass: MBSAQIP database analysis of trends and predictive factors. Obes Surg. 2024;34(5):1536\u201343.","journal-title":"Obes Surg"},{"issue":"6","key":"7950_CR9","doi-asserted-by":"publisher","first-page":"1066","DOI":"10.1007\/s11605-023-05619-7","volume":"27","author":"A Beran","year":"2023","unstructured":"Beran A, Shaear M, Al-Mudares S, Sharma I, Matar R, Al-Haddad M, et al. Predictors of marginal ulcer after gastric bypass: a systematic review and meta-analysis. J Gastrointest Surg. 2023;27(6):1066\u201377.","journal-title":"J Gastrointest Surg"},{"key":"7950_CR10","doi-asserted-by":"crossref","unstructured":"Cucchi SG, Pories WJ, MacDonald KG, Morgan EJ. Gastrogastric fistulas. A complication of divided gastric bypass surgery. Ann Surg. 1995;221(4):387\u201391.","DOI":"10.1097\/00000658-199504000-00009"},{"issue":"5","key":"7950_CR11","doi-asserted-by":"publisher","first-page":"467","DOI":"10.1016\/j.soard.2005.07.003","volume":"1","author":"L Carrodeguas","year":"2005","unstructured":"Carrodeguas L, Szomstein S, Soto F, Whipple O, Simpfendorfer C, Gonzalvo JP, et al. Management of gastrogastric fistulas after divided Roux-en-Y gastric bypass surgery for morbid obesity: analysis of 1,292 consecutive patients and review of literature. Surg Obes Relat Dis. 2005;1(5):467\u201374.","journal-title":"Surg Obes Relat Dis."},{"issue":"12","key":"7950_CR12","doi-asserted-by":"publisher","first-page":"1673","DOI":"10.1007\/s11605-007-0341-6","volume":"11","author":"ON Tucker","year":"2007","unstructured":"Tucker ON, Szomstein S, Rosenthal RJ. Surgical management of gastro-gastric fistula after divided laparoscopic Roux-en-Y gastric bypass for morbid obesity. J Gastrointest Surg. 2007;11(12):1673\u20139.","journal-title":"J Gastrointest Surg"},{"key":"7950_CR13","doi-asserted-by":"crossref","unstructured":"Capella JF, Capella RF. Gastro-gastric fistulas and marginal ulcers in gastric bypass procedures for weight reduction. Obes Surg. 1999;9(1):22\u20137; discussion 8.","DOI":"10.1381\/096089299765553674"},{"issue":"5","key":"7950_CR14","doi-asserted-by":"publisher","first-page":"741","DOI":"10.1007\/s11695-013-1152-3","volume":"24","author":"DC Steinemann","year":"2014","unstructured":"Steinemann DC, Bueter M, Schiesser M, Amygdalos I, Clavien PA, Nocito A. Management of anastomotic ulcers after Roux-en-Y gastric bypass: results of an international survey. Obes Surg. 2014;24(5):741\u20136.","journal-title":"Obes Surg"},{"issue":"1","key":"7950_CR15","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.soard.2024.10.003","volume":"21","author":"RW Vosburg","year":"2025","unstructured":"Vosburg RW, Nimeri A, Azagury D, Grover B, Noria S, Papasavas P, et al. ASMBS literature review on the treatment of marginal ulcers after metabolic and bariatric surgery. Surg Obes Relat Dis. 2025Jan;21(1):1\u20138.","journal-title":"Surg Obes Relat Dis"},{"issue":"3","key":"7950_CR16","doi-asserted-by":"publisher","first-page":"587","DOI":"10.1007\/s11695-021-05850-8","volume":"32","author":"SA Ayuso","year":"2022","unstructured":"Ayuso SA, Robinson JN, Okorji LM, Thompson KJ, McKillop IH, Kuwada TS, et al. Why size matters: an evaluation of gastric pouch size in Roux-en-Y gastric bypass using CT volumetric analysis and its effect on marginal ulceration. Obes Surg. 2022;32(3):587\u201392.","journal-title":"Obes Surg"},{"issue":"5","key":"7950_CR17","doi-asserted-by":"publisher","first-page":"2011","DOI":"10.1007\/s00464-015-4432-2","volume":"30","author":"D Edholm","year":"2016","unstructured":"Edholm D, Ottosson J, Sundbom M. Importance of pouch size in laparoscopic Roux-en-Y gastric bypass: a cohort study of 14,168 patients. Surg Endosc. 2016;30(5):2011\u20135.","journal-title":"Surg Endosc"},{"key":"7950_CR18","doi-asserted-by":"crossref","unstructured":"Garrido AB, Jr., Rossi M, Lima SE, Jr., Brenner AS, Gomes CA, Jr. Early marginal ulcer following Roux-en-Y gastric bypass under proton pump inhibitor treatment: prospective multicentric study. Arq Gastroenterol. 2010;47(2):130\u20134.","DOI":"10.1590\/S0004-28032010000200003"},{"key":"7950_CR19","doi-asserted-by":"crossref","unstructured":"Csendes A, Torres J, Burgos AM. Late marginal ulcers after gastric bypass for morbid obesity. Clinical and endoscopic findings and response to treatment. Obes Surg. 2011;21(9):1319\u201322.","DOI":"10.1007\/s11695-011-0429-7"},{"key":"7950_CR20","unstructured":"Filho AJ, Kondo W, Nassif LS, Garcia MJ, Tirapelle Rde A, Dotti CM. Gastrogastric fistula: a possible complication of Roux-en-Y gastric bypass. Jsls. 2006;10(3):326\u201331."},{"issue":"2","key":"7950_CR21","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1016\/j.soard.2016.09.027","volume":"13","author":"L Ribeiro-Parenti","year":"2017","unstructured":"Ribeiro-Parenti L, De Courville G, Daikha A, Arapis K, Chosidow D, Marmuse JP. Classification, surgical management and outcomes of patients with gastrogastric fistula after Roux-En-Y gastric bypass. Surg Obes Relat Dis. 2017;13(2):243\u20138.","journal-title":"Surg Obes Relat Dis"},{"issue":"6","key":"7950_CR22","doi-asserted-by":"publisher","first-page":"626","DOI":"10.1016\/j.soard.2022.12.022","volume":"19","author":"L Pina","year":"2023","unstructured":"Pina L, Wood GC, Richardson S, Obradovic V, Petrick A, Parker DM. Bariatric revisional surgery for gastrogastric fistula following Roux-en-Y gastric bypass positively impacts weight loss. Surg Obes Relat Dis. 2023;19(6):626\u201331.","journal-title":"Surg Obes Relat Dis"},{"issue":"2","key":"7950_CR23","doi-asserted-by":"publisher","first-page":"165","DOI":"10.1016\/j.soard.2010.11.003","volume":"7","author":"D Cusati","year":"2011","unstructured":"Cusati D, Sarr M, Kendrick M, Que F, Swain JM. Refractory strictures after Roux-en-Y gastric bypass: operative management. Surg Obes Relat Dis. 2011;7(2):165\u20139.","journal-title":"Surg Obes Relat Dis."},{"issue":"3","key":"7950_CR24","doi-asserted-by":"publisher","first-page":"282","DOI":"10.1016\/j.soard.2010.02.036","volume":"6","author":"G Fernandez-Esparrach","year":"2010","unstructured":"Fernandez-Esparrach G, Lautz DB, Thompson CC. Endoscopic repair of gastrogastric fistula after Roux-en-Y gastric bypass: a less-invasive approach. Surg Obes Relat Dis. 2010;6(3):282\u20138.","journal-title":"Surg Obes Relat Dis."},{"issue":"2","key":"7950_CR25","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1016\/j.soard.2005.12.002","volume":"2","author":"AA Gumbs","year":"2006","unstructured":"Gumbs AA, Duffy AJ, Bell RL. Management of gastrogastric fistula after laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2006;2(2):117\u201321.","journal-title":"Surg Obes Relat Dis."},{"issue":"4","key":"7950_CR26","doi-asserted-by":"publisher","first-page":"343","DOI":"10.1016\/j.cgh.2012.10.043","volume":"11","author":"N Kumar","year":"2013","unstructured":"Kumar N, Thompson CC. Endoscopic management of complications after gastrointestinal weight loss surgery. Clin Gastroenterol Hepatol. 2013;11(4):343\u201353.","journal-title":"Clin Gastroenterol Hepatol"},{"issue":"8","key":"7950_CR27","first-page":"495","volume":"10","author":"N Kumar","year":"2014","unstructured":"Kumar N, Larsen MC, Thompson CC. Endoscopic management of gastrointestinal fistulae. Gastroenterol Hepatol (N Y). 2014;10(8):495\u2013552.","journal-title":"Gastroenterol Hepatol (N Y)"},{"issue":"9","key":"7950_CR28","doi-asserted-by":"publisher","first-page":"405","DOI":"10.1007\/s11894-014-0405-1","volume":"16","author":"EM Pauli","year":"2014","unstructured":"Pauli EM, Beshir H, Mathew A. Gastrogastric fistulae following gastric bypass surgery-clinical recognition and treatment. Curr Gastroenterol Rep. 2014;16(9):405.","journal-title":"Curr Gastroenterol Rep"},{"issue":"12","key":"7950_CR29","doi-asserted-by":"publisher","first-page":"5801","DOI":"10.1177\/00031348231175134","volume":"89","author":"L Pina","year":"2023","unstructured":"Pina L, Smith B, Smith L, Wood GC, Horsley R, Falvo A, et al. Rates of recurrent marginal ulcer in gastric bypass patients undergoing revisional surgery. Am Surg. 2023;89(12):5801\u20135.","journal-title":"Am Surg"},{"issue":"2","key":"7950_CR30","doi-asserted-by":"publisher","first-page":"607","DOI":"10.1007\/s00464-018-6386-7","volume":"33","author":"A Bonanno","year":"2019","unstructured":"Bonanno A, Tieu B, Dewey E, Husain F. Thoracoscopic truncal vagotomy versus surgical revision of the gastrojejunal anastomosis for recalcitrant marginal ulcers. Surg Endosc. 2019;33(2):607\u201311.","journal-title":"Surg Endosc"},{"issue":"12","key":"7950_CR31","doi-asserted-by":"publisher","first-page":"4034","DOI":"10.1007\/s11695-023-06916-5","volume":"33","author":"R Castillo-Larios","year":"2023","unstructured":"Castillo-Larios R, Cornejo J, Gunturu NS, Cheng YL, Elli EF. Experience of robotic complex revisional bariatric surgery in a high-volume center. Obes Surg. 2023;33(12):4034\u201341.","journal-title":"Obes Surg"},{"issue":"6","key":"7950_CR32","doi-asserted-by":"publisher","first-page":"2583","DOI":"10.1007\/s11695-021-05272-6","volume":"31","author":"YL Cheng","year":"2021","unstructured":"Cheng YL, Elli EF. Role of robotic surgery in complex revisional bariatric procedures. Obes Surg. 2021;31(6):2583\u20139.","journal-title":"Obes Surg"}],"container-title":["Obesity Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11695-025-07950-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11695-025-07950-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11695-025-07950-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,6]],"date-time":"2025-09-06T17:49:21Z","timestamp":1757180961000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11695-025-07950-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,4]]},"references-count":32,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["7950"],"URL":"https:\/\/doi.org\/10.1007\/s11695-025-07950-1","relation":{},"ISSN":["0960-8923","1708-0428"],"issn-type":[{"value":"0960-8923","type":"print"},{"value":"1708-0428","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,4]]},"assertion":[{"value":"15 April 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 May 2025","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 May 2025","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 June 2025","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"For this type of study, formal consent is not required.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}},{"value":"Informed consent does not apply.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed Consent"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}