Publication Name	World Journal of Gastroenterology
Manuscript ID	115654
Country	South Korea

Category	Surgery
Manuscript Type	Case Report
Article Title	Ischemic duodenal injury due to systemic lupus erythematosus: A case report
Manuscript Source	Unsolicited Manuscript
All Author List	Yung Kil Kim, Hae Il Jung, Hyeyoung Kim and Sang Ho Bae
Funding Agency and Grant Number
Corresponding Author	Sang Ho Bae, MD, PhD, Professor, Department of Surgery, Soonchunhyang University Cheonan Hospital, 31 Suncheonhyang 6-gil, Dongnam-gu, Cheonan-si, Chungcheongnam-do, Republic of Korea, Cheonan 31151, South Korea. bestoperator@schmc.ac.kr
Key Words	Lupus enteritis; Systemic lupus erythematosus; Duodenal ischemia; Biliary complications; Duodenojejunostomy; Case report
Core Tip	Duodenal involvement in lupus enteritis is exceptionally rare and may progress to ischemia requiring surgery. Early recognition is critical, as delayed diagnosis can be life-threatening. Because it is often difficult to predict whether lupus enteritis will respond to steroids or instead progress to ischemia, a multidisciplinary approach and timely decision-making are essential. In this case, early duodenal resection and duodenojejunostomy prevented further deterioration, and postoperative biliary obstruction was successfully managed through intervention. This case highlights that in systemic lupus erythematosus patients with acute abdominal symptoms, lupus enteritis should be considered and coordinated management is crucial.
Citation	Kim YK, Jung HI, Kim H, Bae SH. Ischemic duodenal injury due to systemic lupus erythematosus: A case report. World J Gastroenterol 2025; In press

Received	2025-10-22 08:47
Peer-Review Started	2025-10-22 08:47
First Decision by Editorial Office Director	2025-12-03 10:23
Return for Revision	2025-12-03 10:23
Revised	2025-12-11 21:02
Publication Fee Transferred	2025-12-12 12:58
Second Decision by Editor	2025-12-31 02:31
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2025-12-31 06:29
Articles in Press	2025-12-31 06:29
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1007-9327 (print) and 2219-2840 (online)
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