{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T10:35:58Z","timestamp":1793702158511,"version":"4.5.1"},"reference-count":41,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T00:00:00Z","timestamp":1764288000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","soard.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Surgery for Obesity and Related Diseases"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1016\/j.soard.2025.11.019","type":"journal-article","created":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T00:41:09Z","timestamp":1764117669000},"page":"309-316","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Diagnosis and treatment options for chronic abdominal pain after Roux-en-Y gastric bypass"],"prefix":"10.1016","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3784-6555","authenticated-orcid":false,"given":"Rodolfo J.","family":"Oviedo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria S.","family":"Altieri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Aylward","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ambar","family":"Banerjee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1260-6638","authenticated-orcid":false,"given":"Sabrena F.","family":"Noria","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5400-8994","authenticated-orcid":false,"given":"Christina M.","family":"Seeger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0144-5132","authenticated-orcid":false,"given":"Faiz","family":"Shariff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. Joe","family":"Northup","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3136-7879","authenticated-orcid":false,"given":"R. Wesley","family":"Vosburg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.soard.2025.11.019_bib1","doi-asserted-by":"crossref","DOI":"10.1111\/obr.13670","article-title":"Association of bariatric surgery with indicated and unintended outcomes: an umbrella review and meta-analysis for risk-benefit assessment","volume":"25","author":"Kim","year":"2024","journal-title":"Obes Rev"},{"issue":"4","key":"10.1016\/j.soard.2025.11.019_bib2","doi-asserted-by":"crossref","first-page":"249","DOI":"10.56126\/73.4.26","article-title":"Chronic abdominal pain after bariatric surgery: a narrative review","volume":"73","author":"Vogelaerts","year":"2022","journal-title":"Acta Anaesthesiologica Belgica"},{"issue":"7","key":"10.1016\/j.soard.2025.11.019_bib3","doi-asserted-by":"crossref","first-page":"872","DOI":"10.1016\/j.soard.2022.03.021","article-title":"Predicting complications following bariatric surgery: the diagnostic accuracy of available tools","volume":"18","author":"Karpi\u0144ska","year":"2022","journal-title":"Surg Obes Relat Dis"},{"issue":"6","key":"10.1016\/j.soard.2025.11.019_bib4","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1001\/jamasurg.2015.5110","article-title":"Prevalence of self-reported symptoms after gastric bypass surgery for obesity","volume":"151","author":"Gribsholt","year":"2016","journal-title":"JAMA Surg"},{"issue":"1","key":"10.1016\/j.soard.2025.11.019_bib5","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.orcp.2024.02.004","article-title":"Postbariatric hypoglycemia, abdominal pain and gastrointestinal symptoms after Roux-en-Y gastric bypass explored by continuous glucose monitoring","volume":"18","author":"Bjerkan","year":"2024","journal-title":"Obes Res Clin Pract"},{"key":"10.1016\/j.soard.2025.11.019_bib6","article-title":"American society for metabolic and bariatric surgery literature review on risk factors, screening recommendations, and prophylaxis for marginal ulcers after metabolic and bariatric surgery","volume":"15","author":"Vosburg","year":"2024","journal-title":"Surg Obes Relat Dis"},{"key":"10.1016\/j.soard.2025.11.019_bib7","article-title":"ASMBS literature review on the treatment of marginal ulcers after metabolic and bariatric surgery","volume":"12","author":"Vosburg","year":"2024","journal-title":"Surg Obes Relat Dis"},{"issue":"5","key":"10.1016\/j.soard.2025.11.019_bib8","doi-asserted-by":"crossref","first-page":"1017","DOI":"10.1016\/j.soard.2021.01.006","article-title":"Incidence and treatment of intussusception following Roux-en-Y gastric bypass: a systematic review and meta-analysis","volume":"17","author":"Oor","year":"2021","journal-title":"Surg Obes Relat Dis"},{"issue":"2","key":"10.1016\/j.soard.2025.11.019_bib9","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1007\/s11695-022-06377-2","article-title":"Intussusception after Roux-en-Y gastric bypass: correlation between radiological and operative findings","volume":"33","author":"Zaigham","year":"2023","journal-title":"Obes Surg"},{"issue":"4","key":"10.1016\/j.soard.2025.11.019_bib10","doi-asserted-by":"crossref","first-page":"666","DOI":"10.1016\/j.soard.2014.01.026","article-title":"Intussusception after Roux-en-Y gastric bypass","volume":"10","author":"Stephenson","year":"2014","journal-title":"Surg Obes Relat Dis"},{"issue":"5","key":"10.1016\/j.soard.2025.11.019_bib11","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1002\/bjs.9738","article-title":"Meta-analysis of internal herniation after gastric bypass surgery","volume":"102","author":"Geubbels","year":"2015","journal-title":"Br J Surg"},{"issue":"3","key":"10.1016\/j.soard.2025.11.019_bib12","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1007\/s11605-020-04761-w","article-title":"Internal hernia after laparoscopic gastric bypass without preventive closure of mesenteric defects: a single institution's experience","volume":"25","author":"Brammerloo","year":"2021","journal-title":"J Gastrointest Surg"},{"issue":"7","key":"10.1016\/j.soard.2025.11.019_bib13","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1016\/j.soard.2023.03.019","article-title":"American society for metabolic and bariatric surgery literature review on prevention, diagnosis, and management of internal hernias after Roux-en-Y gastric bypass","volume":"19","author":"Altieri","year":"2023","journal-title":"Surg Obes Relat Dis"},{"issue":"6","key":"10.1016\/j.soard.2025.11.019_bib14","doi-asserted-by":"crossref","first-page":"3448","DOI":"10.1007\/s00330-020-06688-x","article-title":"Structured CT reporting improves accuracy in diagnosing internal herniation after laparoscopic Roux-en-Y gastric bypass","volume":"30","author":"Ederveen","year":"2020","journal-title":"Eur Radiol"},{"issue":"11","key":"10.1016\/j.soard.2025.11.019_bib15","doi-asserted-by":"crossref","first-page":"1903","DOI":"10.1016\/j.soard.2019.08.005","article-title":"Effect of the closure of mesenteric defects in laparoscopic Roux-en-Y gastric bypass: a prospective study","volume":"15","author":"Samur","year":"2019","journal-title":"Surg Obes Relat Dis"},{"issue":"7","key":"10.1016\/j.soard.2025.11.019_bib16","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1001\/jamasurg.2023.1042","article-title":"Long-term safety and efficacy of closure of mesenteric defects in laparoscopic gastric bypass surgery: a randomized clinical trial","volume":"158","author":"Stenberg","year":"2023","journal-title":"JAMA Surg"},{"issue":"8","key":"10.1016\/j.soard.2025.11.019_bib17","doi-asserted-by":"crossref","first-page":"1278","DOI":"10.1016\/j.soard.2017.04.007","article-title":"Bile reflux of the remnant stomach following Roux-en-Y gastric bypass: an etiology of chronic abdominal pain treated with remnant gastrectomy","volume":"13","author":"La Vella","year":"2017","journal-title":"Surg Obes Relat Dis"},{"issue":"12","key":"10.1016\/j.soard.2025.11.019_bib18","doi-asserted-by":"crossref","first-page":"5399","DOI":"10.1007\/s00464-017-5621-y","article-title":"Remnant gastropathy due to bile reflux after Roux-en-Y gastric bypass: a unique cause of abdominal pain and successful treatment with ursodiol","volume":"31","author":"Kumar","year":"2017","journal-title":"Surg Endosc"},{"issue":"8","key":"10.1016\/j.soard.2025.11.019_bib19","doi-asserted-by":"crossref","first-page":"1891","DOI":"10.1023\/A:1016429603337","article-title":"Duodenogastric bile reflux after gastric bypass: a cholescintigraphic study","volume":"47","author":"Sundbom","year":"2002","journal-title":"Dig Dis Sci"},{"issue":"2","key":"10.1016\/j.soard.2025.11.019_bib20","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1007\/s11695-017-3026-6","article-title":"Detecting bile reflux-the enigma of bariatric surgery","volume":"28","author":"Eldredge","year":"2018","journal-title":"Obes Surg"},{"issue":"5","key":"10.1016\/j.soard.2025.11.019_bib21","doi-asserted-by":"crossref","first-page":"1573","DOI":"10.1007\/s00464-012-2629-1","article-title":"The role of dumping syndrome in weight loss after gastric bypass surgery","volume":"27","author":"Banerjee","year":"2013","journal-title":"Surg Endosc"},{"issue":"4","key":"10.1016\/j.soard.2025.11.019_bib22","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1016\/j.bpg.2014.07.010","article-title":"Complications of bariatric surgery: dumping syndrome, reflux and vitamin deficiencies","volume":"28","author":"Tack","year":"2014","journal-title":"Best Pract Res Clin Gastroenterol"},{"issue":"10","key":"10.1016\/j.soard.2025.11.019_bib23","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1038\/nrgastro.2009.148","article-title":"Pathophysiology, diagnosis and management of postoperative dumping syndrome","volume":"6","author":"Tack","year":"2009","journal-title":"Nat Rev Gastroenterol Hepatol"},{"issue":"8","key":"10.1016\/j.soard.2025.11.019_bib24","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1038\/s41574-020-0357-5","article-title":"International consensus on the diagnosis and management of dumping syndrome","volume":"16","author":"Scarpellini","year":"2020","journal-title":"Nat Rev Endocrinol"},{"issue":"6","key":"10.1016\/j.soard.2025.11.019_bib25","doi-asserted-by":"crossref","first-page":"2331","DOI":"10.1007\/s11695-020-04477-5","article-title":"Study of small intestinal bacterial overgrowth in a cohort of patients with abdominal symptoms who underwent bariatric surgery","volume":"30","author":"Mouillot","year":"2020","journal-title":"Obes Surg"},{"issue":"12","key":"10.1016\/j.soard.2025.11.019_bib26","doi-asserted-by":"crossref","first-page":"4102","DOI":"10.1007\/s11695-022-06299-z","article-title":"Small intestinal bacterial overgrowth in patients with Roux-en-Y gastric bypass and one-anastomosis gastric bypass","volume":"32","author":"Novljan","year":"2022","journal-title":"Obes Surg"},{"issue":"7","key":"10.1016\/j.soard.2025.11.019_bib27","doi-asserted-by":"crossref","first-page":"510","DOI":"10.4253\/wjge.v15.i7.510","article-title":"Candy cane syndrome: a systematic review","volume":"15","author":"Rio-Tinto","year":"2023","journal-title":"World J Gastrointest Endosc"},{"issue":"5","key":"10.1016\/j.soard.2025.11.019_bib28","doi-asserted-by":"crossref","first-page":"1753","DOI":"10.1007\/s11695-020-04398-3","article-title":"Intussusception, a plausible cause of the candy cane syndrome (Roux syndrome): known for a century-still a frequently missed cause of pain after Roux-en-Y gastric bypass","volume":"30","author":"Stier","year":"2020","journal-title":"Obes Surg"},{"issue":"6","key":"10.1016\/j.soard.2025.11.019_bib29","doi-asserted-by":"crossref","first-page":"1198","DOI":"10.1016\/j.soard.2021.02.003","article-title":"Comparison of the incidence of cholelithiasis after sleeve gastrectomy and Roux-en-Y gastric bypass: a meta-analysis","volume":"17","author":"Wan","year":"2021","journal-title":"Surg Obes Relat Dis"},{"issue":"2","key":"10.1016\/j.soard.2025.11.019_bib30","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1007\/s11695-019-04166-y","article-title":"Risk factors for cholecystectomy after laparoscopic Roux-En-Y gastric bypass","volume":"30","author":"Haal","year":"2020","journal-title":"Obes Surg"},{"issue":"1","key":"10.1016\/j.soard.2025.11.019_bib31","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1007\/s00423-023-02904-6","article-title":"Incidence of symptomatic gallstones after bariatric surgery: the impact of expectant management","volume":"408","author":"Nogueiro","year":"2023","journal-title":"Langenbecks Arch Surg"},{"issue":"3","key":"10.1016\/j.soard.2025.11.019_bib32","doi-asserted-by":"crossref","first-page":"1249","DOI":"10.1007\/s11695-020-05125-8","article-title":"Asymptomatic cholelithiasis and bariatric surgery: a comprehensive long-term analysis of the risks of biliary disease in patients undergoing primary Roux-en-Y gastric bypass","volume":"31","author":"Cunningham","year":"2021","journal-title":"Obes Surg"},{"issue":"4","key":"10.1016\/j.soard.2025.11.019_bib33","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1177\/0003134820973736","article-title":"Biliary hyperkinesia: a potentially overlooked source of abdominal pain following bariatric surgery","volume":"89","author":"Falco","year":"2023","journal-title":"Am Surg"},{"issue":"11","key":"10.1016\/j.soard.2025.11.019_bib34","article-title":"Impact of cardiovascular risk factors on chronic abdominal pain after laparoscopic gastric bypass","volume":"67","author":"Gormsen","year":"2020","journal-title":"Dan Med J"},{"issue":"1","key":"10.1016\/j.soard.2025.11.019_bib35","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.soard.2017.09.512","article-title":"Portomesentric and splenic vein thrombosis (PMSVT) after bariatric surgery: a systematic review of 110 patients","volume":"14","author":"Shoar","year":"2018","journal-title":"Surg Obes Relat Dis"},{"issue":"8","key":"10.1016\/j.soard.2025.11.019_bib36","doi-asserted-by":"crossref","first-page":"1221","DOI":"10.3390\/medicina60081221","article-title":"GERD after Roux-en-Y gastric bypass: prevalence and risk factors analysis","volume":"60","author":"Pa\u017eusis","year":"2024","journal-title":"Medicina (Kaunas)"},{"issue":"2","key":"10.1016\/j.soard.2025.11.019_bib37","doi-asserted-by":"crossref","first-page":"982","DOI":"10.21873\/invivo.13531","article-title":"Analysis of factors related to gastroesophageal reflux after gastric bypass at 10-year follow-up: a retrospective single-institutional study","volume":"38","author":"Petrucciani","year":"2024","journal-title":"In Vivo"},{"issue":"9","key":"10.1016\/j.soard.2025.11.019_bib38","doi-asserted-by":"crossref","first-page":"1546","DOI":"10.1016\/j.gassur.2024.06.014","article-title":"Significant and distinct impacts of sleeve gastrectomy and Roux-en-Y gastric bypass on esophageal acid exposure, esophageal motility, and endoscopic findings: a systematic review and meta-analysis","volume":"28","author":"Valentini","year":"2024","journal-title":"J Gastrointest Surg"},{"key":"10.1016\/j.soard.2025.11.019_bib39","article-title":"Persistent gastroesophageal reflux disease after RYGB: what shall we do next?","volume":"15","author":"Peristeri","year":"2024","journal-title":"Surg Innov"},{"issue":"5","key":"10.1016\/j.soard.2025.11.019_bib40","doi-asserted-by":"crossref","first-page":"984","DOI":"10.1016\/j.cgh.2022.01.025","article-title":"AGA clinical practice update on the personalized approach to the evaluation and management of GERD: expert review","volume":"20","author":"Yadlapati","year":"2022","journal-title":"Clin Gastroenterol Hepatol"},{"issue":"Suppl 4","key":"10.1016\/j.soard.2025.11.019_bib41","doi-asserted-by":"crossref","first-page":"S58","DOI":"10.1016\/j.ciresp.2023.05.010","article-title":"Gastroesophageal reflux after Roux-en-Y gastric bypass: is it just related to technical details?","volume":"101","author":"S\u00e1nchez-Pernaute","year":"2023","journal-title":"Cir Esp (Engl Ed)"}],"container-title":["Surgery for Obesity and Related Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1550728925010354?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1550728925010354?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T02:53:40Z","timestamp":1774666420000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1550728925010354"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":41,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["S1550728925010354"],"URL":"https:\/\/doi.org\/10.1016\/j.soard.2025.11.019","relation":{},"ISSN":["1550-7289"],"issn-type":[{"value":"1550-7289","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Diagnosis and treatment options for chronic abdominal pain after Roux-en-Y gastric bypass","name":"articletitle","label":"Article Title"},{"value":"Surgery for Obesity and Related Diseases","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.soard.2025.11.019","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}