Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	120780
DOI	10.4240/wjgs.120780
Country	China

Category	Gastroenterology & Hepatology
Manuscript Type	Retrospective Study
Article Title	Risk factors and nomogram for predicting delayed gastrointestinal recovery after radical gastrectomy
Manuscript Source	Unsolicited Manuscript
All Author List	Cui-Yun Wang, Hong-Ye He, Shan-Shan Li and Qing-Qing Zhu
Funding Agency and Grant Number
Corresponding Author	Qing-Qing Zhu, Head, Department of Gastrointestinal Surgery, The First Affiliated Hospital of Anhui Medical University, No. 218, Jixi Road, Hefei City, Anhui Province, Hefei 230022, Anhui Province, China. yfy264779@fy.ahmu.edu.cn
Key Words	Gastric cancer; Radical gastrectomy; Delayed gastrointestinal recovery; Risk factors; Prediction model; Nomogram
Core Tip	Gastrointestinal recovery is crucial after radical gastrectomy; however, delayed gastrointestinal recovery is a common complication following surgery, affecting postoperative outcomes. Age ≥ 65 years, underweight status, American Society of Anesthesiologists (ASA) grade III, preoperative hypoalbuminemia, tumour, node, and metastasis (TNM) stage III and total gastrectomy were all identified as independent risk factors in this retrospective cohort study. After Bootstrap validation, a Nomogram including these variables showed good discrimination, calibration and clinical utility. Five of the six predictors (age, body mass index, ASA grade, serum albumin, and TNM stage) are identifiable preoperatively within a standard diagnostic workup, while total gastrectomy is determined intraoperatively. This accessibility enables early preoperative risk stratification and guides individualised perioperative management. Application of this approach may help to optimize nutritional intervention, ameliorate surgical planning and contribute to improvement in enhanced recovery after surgery inductees allowing for an expedited return of gastrointestinal activity along with prognostically favorable outcomes for the patient.
Citation	Wang CY, He HY, Li SS, Zhu QQ. Risk factors and nomogram for predicting delayed gastrointestinal recovery after radical gastrectomy. World J Gastrointest Surg 2026; In press DOI: https://doi.org/10.4240/wjgs.120780
PDF	120780-in-press.pdf

Received	2026-04-10 10:01
Peer-Review Started	2026-04-10 10:02
First Decision by Editorial Office Director	2026-04-29 09:04
Return for Revision	2026-04-29 09:04
Revised	2026-05-24 08:56
Publication Fee Transferred	2026-05-28 01:18
Second Decision by Editor	2026-06-24 02:41
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-06-24 07:13
Articles in Press	2026-06-24 07:13
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
Open Access	This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright	©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Permissions	For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher	Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website	http://www.wjgnet.com