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Publication Name World Journal of Gastrointestinal Surgery
Manuscript ID 115464
Country Egypt
Received
2025-10-17 13:29
Peer-Review Started
2025-10-17 13:30
First Decision by Editorial Office Director
2025-11-26 07:22
Return for Revision
2025-11-26 07:22
Revised
2025-11-27 19:32
Publication Fee Transferred
Second Decision by Editor
2026-01-04 02:40
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-01-04 03:30
Articles in Press
2026-01-04 03:30
Edit the Manuscript by Language Editor
2026-01-23 00:12
Typeset the Manuscript
2026-07-30 08:42
Publish the Manuscript Online
2026-08-17 03:34
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: http://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 Editorial
Article Title Colloids in acute pancreatitis: Microcirculatory advantage or inflammatory mirage
Manuscript Source Invited Manuscript
All Author List Amira Ahmed Abdelrahman Othman
ORCID
Author(s) ORCID Number
Amira Ahmed Abdelrahman Othman http://orcid.org/0000-0002-8191-0035
Funding Agency and Grant Number
Corresponding Author Amira Ahmed Abdelrahman Othman, Department of Internal Medicine, Suez University, Cairo-Suez Road, Suez 43511, Egypt. amira.othman@med.suezuni.edu.eg
Key Words Acute pancreatitis; Fluid resuscitation; Colloids; Dextran 40; Ringer’s lactate; Microcirculation; C-reactive protein
Core Tip Fluid resuscitation remains the cornerstone of acute pancreatitis care; however, the ideal composition remains unsettled. A recent randomized trial comparing dextran 40 + Ringer’s lactate vs Ringer’s lactate alone demonstrated lower C-reactive protein but no difference in systemic inflammation or organ failure. This editorial explores why the apparent biochemical benefit may not translate into clinical improvement, highlighting the intricate interplay between microcirculation, endothelial integrity, and inflammatory signaling. The piece highlights how this study refines, not resolves, the colloid debate, underscoring the need for individualized, goal-directed hydration strategies guided by hemodynamic and perfusion markers rather than fixed formulas.
Publish Date 2026-08-17 03:34
Citation

Othman AAA. Colloids in acute pancreatitis: Microcirculatory advantage or inflammatory mirage. World J Gastrointest Surg 2026; 18(8): 115464

URL https://www.wjgnet.com/1948-9366/full/v18/i8/115464.htm
DOI https://doi.org/10.4240/wjgs.115464
Full Article (PDF) WJGS-18-115464-with-cover.pdf
Manuscript File 115464_Auto_Edited_023653.docx
Answering Reviewers 115464-answering-reviewers.pdf
Audio Core Tip 115464-audio.mp3
Conflict-of-Interest Disclosure Form 115464-conflict-of-interest-statement.pdf
Copyright License Agreement 115464-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 115464-non-native-speakers.pdf
Peer-review Report 115464-peer-reviews.pdf
Scientific Misconduct Check 115464-scientific-misconduct-check.png
Scientific Editor Work List 115464-scientific-editor-work-list.pdf
CrossCheck Report 115464-crosscheck-report.pdf