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Articles Published Processes
6/24/2026 9:14:09 AM | Browse: 1 | Download: 4
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Received |
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2025-10-17 13:31 |
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Peer-Review Started |
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2025-10-17 13:31 |
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First Decision by Editorial Office Director |
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2025-12-04 08:27 |
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Return for Revision |
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2025-12-04 08:27 |
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Revised |
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2025-12-07 04:40 |
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Publication Fee Transferred |
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Second Decision by Editor |
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2026-01-06 02:48 |
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Second Decision by Editor-in-Chief |
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Final Decision by Editorial Office Director |
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2026-01-06 06:49 |
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Articles in Press |
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2026-01-06 06:49 |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2026-06-08 15:56 |
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Publish the Manuscript Online |
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2026-06-24 09:14 |
| 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) 2026. Published by Baishideng Publishing Group Inc. All rights reserved. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| 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 |
Opinion Review |
| Article Title |
Evolution of Early Fluid Therapy in Acute Pancreatitis: Balancing Perfusion Needs with Fluid Toxicity
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| Manuscript Source |
Invited Manuscript |
| All Author List |
Xin-Meng Li, Yong-Rui Tao, Jia-Qi Chen and Yuan Chen |
| ORCID |
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| Funding Agency and Grant Number |
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| Corresponding Author |
Yuan Chen, MD, . chenyuanx2000@163.com |
| Key Words |
Acute pancreatitis; Fluid therapy; Dextran; Ringer’s lactate; Randomized controlled trial; Systemic inflammatory response syndrome; C-reactive protein |
| Core Tip |
In early acute pancreatitis, fluid is usually started for the right reason — and continues for the wrong one. The same admission order can run on while the patient has changed underneath it. A patient with persistent hemoconcentration or oliguria still looks under-resuscitated, but a new oxygen requirement, basal crackles, or a tense abdomen should interrupt the next bolus, not justify it. The bedside question shifts from "is perfusion adequate?" to "can this patient still tolerate volume?" — and the answer rarely arrives from a single number. Our argument is simple: reassess early, adjust by tolerance, and resist the inertia of the admission prescription. |
| Publish Date |
2026-06-24 09:14 |
| Citation |
Li XM, Tao YR, Chen JQ, Chen Y. Evolution of Early Fluid Therapy in Acute Pancreatitis: Balancing Perfusion Needs with Fluid Toxicity. World J Gastrointest Surg 2026; 18(6): 115426
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| URL |
https://www.wjgnet.com/1948-9366/full/v18/i6/115426.htm |
| DOI |
https://doi.org/10.4240/wjgs.115426 |
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