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Publication Name World Journal of Gastrointestinal Surgery
Manuscript ID 114628
Country China
Received
2025-09-24 09:03
Peer-Review Started
2025-09-24 09:03
First Decision by Editorial Office Director
2025-09-29 07:04
Return for Revision
2025-09-29 07:04
Revised
2025-10-01 10:42
Publication Fee Transferred
2025-10-06 15:08
Second Decision by Editor
2025-11-03 02:43
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2025-11-03 07:03
Articles in Press
2025-11-03 07:03
Edit the Manuscript by Language Editor
Typeset the Manuscript
2025-12-11 23:51
Publish the Manuscript Online
2025-12-25 08:27
ISSN 1948-9366 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright © The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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
Category Gastroenterology & Hepatology
Manuscript Type Clinical Trials Study
Article Title Dexmedetomidine enhances recovery after gastrointestinal cancer surgery by protecting the endothelial glycocalyx: A randomized, double-blind, placebo-controlled study
Manuscript Source Unsolicited Manuscript
All Author List Rong Zeng, Chao-Liang Tang, Yue Zhao, Rui-Xiang Wang, Yun Fang and Xian-Wen Hu
ORCID
Author(s) ORCID Number
Xian-Wen Hu http://orcid.org/0000-0002-8342-8162
Funding Agency and Grant Number
Corresponding Author Xian-Wen Hu, PhD, Department of Anaesthesiology, Second Affiliated Hospital Of Anhui Medical University, Laboratory of Anesthesiology and Perioperative Medicine of Anhui Higher Education Institutes, Anhui Medical University, Number 678 of Fu Rong Road, Hefei ,China, Hefei 230601, Anhui Province, China. huxianwen001@163.com
Key Words Dexmedetomidine; Vascular endothelial glycocalyx; Syndecan-1; Surgical inflammation; Gastrointestinal neoplasms
Core Tip This randomized controlled trial demonstrates that perioperative dexmedetomidine (DEX) infusion attenuates vascular endothelial glycocalyx degradation (as evidenced by reduced syndecan-1 and heparan sulfate levels) and suppresses systemic inflammation in patients undergoing gastrointestinal tumor resection. These mechanistic benefits were associated with improved microcirculatory perfusion, reduced postoperative complications, and enhanced recovery, including shorter hospital stay. The study identifies syndecan-1 as a potential biomarker for perioperative risk stratification and supports the integration of DEX as an endothelial-protective adjunct within Enhanced Recovery after Surgery protocols for oncologic surgery.
Publish Date 2025-12-25 08:27
Citation

Zeng R, Tang CL, Zhao Y, Wang RX, Fang Y, Hu XW. Dexmedetomidine enhances recovery after gastrointestinal cancer surgery by protecting the endothelial glycocalyx: A randomized, double-blind, placebo-controlled study. World J Gastrointest Surg 2025; 17(12): 114628

URL https://www.wjgnet.com/1948-9366/full/v17/i12/114628.htm
DOI https://dx.doi.org/10.4240/wjgs.v17.i12.114628
Full Article (PDF) WJGS-17-114628-with-cover.pdf
CONSORT 2010 Statement 114628-CONSORT-2010-statement.pdf
Manuscript File 114628_Auto_Edited_015608.docx
Answering Reviewers 114628-answering-reviewers.pdf
Audio Core Tip 114628-audio.mp3
Biostatistics Review Certificate 114628-biostatistics-statement.pdf
Clinical Trial Registration Statement 114628-clinical-trial-registration-statement.pdf
Conflict-of-Interest Disclosure Form 114628-conflict-of-interest-statement.pdf
Copyright License Agreement 114628-copyright-assignment.pdf
Signed Informed Consent Form(s) or Document(s) 114628-informed-consent-statement.pdf
Institutional Review Board Approval Form or Document 114628-institutional-review-board-statement.pdf
Non-Native Speakers of English Editing Certificate 114628-non-native-speakers.pdf
Peer-review Report 114628-peer-reviews.pdf
Scientific Misconduct Check 114628-scientific-misconduct-check.png
Scientific Editor Work List 114628-scientific-editor-work-list.pdf
CrossCheck Report 114628-crosscheck-report.pdf