{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:07:39Z","timestamp":1753877259457,"version":"3.41.2"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T00:00:00Z","timestamp":1744070400000},"content-version":"vor","delay-in-days":10,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,3,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>This case report details an unusual instance of small bowel obstruction occurring within 48\u00a0h after a successful Roux-en-Y gastric bypass (RYGB) procedure. A 59-year-old woman, who had undergone a revisional RYGB and was discharged 24\u00a0h post-surgery, returned to the emergency department with acute epigastric pain and vomiting at the 48-h mark. A contrast computed tomography scan revealed dilated small bowel loops, right pleural effusion, and some free gas. An emergency laparoscopy identified an obstruction at the jejunojejunal anastomosis caused by undigested food, including seeds. The obstructive material was removed, and the anastomosis was reconstructed. Subsequent psychiatric evaluation revealed the patient\u2019s abuse of zopiclone, taken at four times the recommended dose. This misuse likely led to anterograde amnesia, resulting in unreported dietary indiscretions. This case underscores the importance of comprehensive medication history and patient education to mitigate risks associated with medication misuse and non-compliance.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf202","type":"journal-article","created":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T21:47:51Z","timestamp":1744148871000},"source":"Crossref","is-referenced-by-count":1,"title":["Early small bowel obstruction by phytobezoar related to zopiclone induced amnesia after revisional Roux-en-Y gastric bypass: a case report"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-4981-7618","authenticated-orcid":false,"given":"Bernarda","family":"Pati\u00f1o-Araujo","sequence":"first","affiliation":[{"name":"Cl\u00ednica Bari\u00e1trica Dr. Napole\u00f3n Salgado , Av. Mariana de Jes\u00fas OE7-02 y Nu\u00f1o de Valderrama, CITIMED, 170509 Quito ,","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3039-3190","authenticated-orcid":false,"given":"Mar\u00eda E","family":"Salgado-B\u00e1ez","sequence":"additional","affiliation":[{"name":"Cl\u00ednica Bari\u00e1trica Dr. Napole\u00f3n Salgado , Av. Mariana de Jes\u00fas OE7-02 y Nu\u00f1o de Valderrama, CITIMED, 170509 Quito ,","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3033-1265","authenticated-orcid":false,"given":"Gabriel P","family":"Villavicencio-Logro\u00f1o","sequence":"additional","affiliation":[{"name":"Cl\u00ednica Bari\u00e1trica Dr. Napole\u00f3n Salgado , Av. Mariana de Jes\u00fas OE7-02 y Nu\u00f1o de Valderrama, CITIMED, 170509 Quito ,","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9217-7238","authenticated-orcid":false,"given":"Mar\u00eda J","family":"Ayora-P\u00e9rez","sequence":"additional","affiliation":[{"name":"Cl\u00ednica Bari\u00e1trica Dr. Napole\u00f3n Salgado , Av. Mariana de Jes\u00fas OE7-02 y Nu\u00f1o de Valderrama, CITIMED, 170509 Quito ,","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1231-5396","authenticated-orcid":false,"given":"Gabriela S","family":"Zapata-Jaramillo","sequence":"additional","affiliation":[{"name":"Cl\u00ednica Bari\u00e1trica Dr. Napole\u00f3n Salgado , Av. Mariana de Jes\u00fas OE7-02 y Nu\u00f1o de Valderrama, CITIMED, 170509 Quito ,","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1198-0833","authenticated-orcid":false,"given":"Napole\u00f3n","family":"Salgado-Mac\u00edas","sequence":"additional","affiliation":[{"name":"Cl\u00ednica Bari\u00e1trica Dr. Napole\u00f3n Salgado , Av. Mariana de Jes\u00fas OE7-02 y Nu\u00f1o de Valderrama, CITIMED, 170509 Quito ,","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,4,8]]},"reference":[{"key":"2025040821472094900_ref1","doi-asserted-by":"publisher","first-page":"571","DOI":"10.1016\/j.jamcollsurg.2007.10.008","article-title":"Small bowel obstruction after laparoscopic Roux-en-Y gastric bypass: a review of 9,527 patients","volume":"206","author":"Koppman","year":"2008","journal-title":"J Am Coll Surg"},{"key":"2025040821472094900_ref2","doi-asserted-by":"publisher","first-page":"e37353","DOI":"10.7759\/cureus.37353","article-title":"A Phytobezoar causing terminal Ileal obstruction following revision bariatric surgery: a case report","volume":"15","author":"Das","year":"2023","journal-title":"Cureus"},{"key":"2025040821472094900_ref3","doi-asserted-by":"publisher","first-page":"1151","DOI":"10.1016\/j.soard.2022.05.020","article-title":"Surgical technique in constructing the jejunojejunostomy and the risk of small bowel obstruction after Roux-en-Y gastric bypass","volume":"18","author":"Hedberg","year":"2022","journal-title":"Surg Obes Relat Dis"},{"key":"2025040821472094900_ref4","doi-asserted-by":"publisher","first-page":"1747","DOI":"10.1016\/j.soard.2016.09.003","article-title":"Gastrointestinal phytobezoar following bariatric surgery: systematic review","volume":"12","author":"Ben-Porat","year":"2016","journal-title":"Surg Obes Relat Dis"},{"key":"2025040821472094900_ref5","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1007\/s13181-013-0294-y","article-title":"In the Zzz zone: the effects of Z-drugs on human performance and driving","volume":"9","author":"Gunja","year":"2013","journal-title":"J Med Toxicol"},{"key":"2025040821472094900_ref6","doi-asserted-by":"publisher","first-page":"244","DOI":"10.9740\/mhc.2023.10.244","article-title":"Efficacy and safety of pharmacotherapy in chronic insomnia: a review of clinical guidelines and case reports","volume":"13","author":"Del Rio Verduzco","year":"2023","journal-title":"Mental Health Clin"},{"key":"2025040821472094900_ref7","doi-asserted-by":"publisher","first-page":"e13371","DOI":"10.2196\/13371","article-title":"Adverse events due to insomnia drugs reported in a regulatory database and online patient reviews: comparative study","volume":"21","author":"Borchert","year":"2019","journal-title":"J Med Internet Res"},{"key":"2025040821472094900_ref8","doi-asserted-by":"crossref","DOI":"10.29166\/rfcmq.v43i2.2824","article-title":"Automedicaci\u00f3n en la regi\u00f3n interandina norte del Ecuador: una pr\u00e1ctica usual","volume":"43","author":"Patajalo Villalta","year":"2018","journal-title":"Rev Fac Cien Med (Quito)"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/4\/rjaf202\/62892276\/rjaf202.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/4\/rjaf202\/62892276\/rjaf202.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T21:47:52Z","timestamp":1744148872000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf202\/8108769"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,29]]},"references-count":8,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,3,29]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf202","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2025,4]]},"published":{"date-parts":[[2025,3,29]]},"article-number":"rjaf202"}}