Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	122899
Country	China

Category	Medicine, General & Internal
Manuscript Type	Retrospective Study
Article Title	Early identification of reversible strangulating ischemia in adhesive small bowel obstruction using non-contrast computed tomography and routine laboratory parameters
Manuscript Source	Unsolicited Manuscript
All Author List	Long-Chun Dong, Ju-Dong Zhang, Yi-Fang Hsieh and Shi-Chao Xu
Funding Agency and Grant Number	Funding Agency Grant Number Natural Science Foundation of Tianjin 24JCZDJC01350 Tianjin Health Technology Project TJWJ2025MS014 Tianjin Key Medical Discipline Construction Project TJYXZDXK-3-009B
Corresponding Author	Ju-Dong Zhang, Department of General Surgery, Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University, Nankai University, No. 190 Jieyuan Road, Tianjin 300121, China. zjd_06221@163.com
Key Words	Adhesive small bowel obstruction; Strangulating ischemia; Non-contrast computed tomography; Base excess; Predictive model
Core Tip	This retrospective study of 103 patients with adhesive small bowel obstruction identified four independent predictors of strangulating ischemia: Shorter symptom duration, mesenteric haziness, closed-loop obstruction, and lower base excess. A combined model incorporating non-contrast computed tomography findings and routine laboratory parameters achieved excellent discrimination (area under the curve 0.897). The model aids early identification of potentially reversible strangulating ischemia and supports timely surgical decision-making.
Citation	Dong LC, Zhang JD, Hsieh YF, Xu SC. Early identification of reversible strangulating ischemia in adhesive small bowel obstruction using non-contrast computed tomography and routine laboratory parameters. World J Gastrointest Surg 2026; In press

Received	2026-05-22 10:54
Peer-Review Started	2026-05-22 10:55
First Decision by Editorial Office Director	2026-06-11 01:39
Return for Revision	2026-06-11 01:39
Revised	2026-06-18 09:34
Publication Fee Transferred	2026-07-07 02:53
Second Decision by Editor	2026-07-13 02:36
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-07-13 06:28
Articles in Press	2026-07-13 06:28
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
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