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3/27/2026 12:16:54 PM | Browse: 1 | Download: 0
Publication Name World Journal of Gastrointestinal Surgery
Manuscript ID 115910
Country China
Received
2025-11-28 10:00
Peer-Review Started
2025-11-28 10:00
First Decision by Editorial Office Director
2025-12-19 07:57
Return for Revision
2025-12-19 07:57
Revised
2025-12-26 07:53
Publication Fee Transferred
2025-12-29 14:19
Second Decision by Editor
2026-01-08 02:47
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-01-08 07:06
Articles in Press
2026-01-08 07:06
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-03-11 00:43
Publish the Manuscript Online
2026-03-27 12:16
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
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 Retrospective Study
Article Title Retrospective analysis cognitive function changes in elderly depressive patients after gastrointestinal tumor surgery and exploration of cholinergic mechanism
Manuscript Source Unsolicited Manuscript
All Author List Wen Li, Zhen-Yu Ye and Jian-Qin Zhao
ORCID
Author(s) ORCID Number
Wen Li http://orcid.org/0009-0005-7293-2223
Zhen-Yu Ye http://orcid.org/0000-0003-1850-0436
Jian-Qin Zhao http://orcid.org/0009-0003-6650-9184
Funding Agency and Grant Number
Funding Agency Grant Number
National Natural Science Foundation of China 82372636
Corresponding Author Jian-Qin Zhao, Associate Chief Nurse, Department of General Surgery, The Second Affiliated Hospital of Soochow University, 1055 Sanxiang Road, Suzhou 215004, Jiangsu Province, China. zhaojianqin2023@163.com
Key Words Post-operative cognitive dysfunction; Older people with depression; Gastrointestinal tumor; Cholinergic system; Retrospective study
Core Tip Data from 95 older patients with depression who had gastrointestinal tumor surgery, were retrospectively analyzed, and there was an incidence of post-operative cognitive dysfunction (POCD) of 36.84%, seven days post-operatively. Advanced age, high pre-operative Hamilton Depression Rating Scale score, long duration of surgery, intra-operative anticholinergics, and high post-operative interleukin-6 (IL-6) change rate were independent risk factors for POCD. Mechanistically, pre-operative depression exacerbated systemic inflammation (via IL-6) and impaired cholinergic function (via reduced cholinesterase), jointly increasing the risk of POCD, with the two mediating effects accounting for 19.7% and 17.2% of the total effect, respectively. These findings provide a basis for the targeted prevention of POCD.
Publish Date 2026-03-27 12:16
Citation

Li W, Ye ZY, Zhao JQ. Retrospective analysis cognitive function changes in elderly depressive patients after gastrointestinal tumor surgery and exploration of cholinergic mechanism. World J Gastrointest Surg 2026; 18(3): 115910

URL https://www.wjgnet.com/1948-9366/full/v18/i3/115910.htm
DOI https://dx.doi.org/10.4240/wjgs.v18.i3.115910
Full Article (PDF) WJGS-18-115910-with-cover.pdf
Manuscript File 115910_Auto_Edited_084338.docx
Answering Reviewers 115910-answering-reviewers.pdf
Audio Core Tip 115910-audio.m4a
Biostatistics Review Certificate 115910-biostatistics-statement.pdf
Conflict-of-Interest Disclosure Form 115910-conflict-of-interest-statement.pdf
Copyright License Agreement 115910-copyright-assignment.pdf
Signed Informed Consent Form(s) or Document(s) 115910-informed-consent-statement.pdf
Institutional Review Board Approval Form or Document 115910-institutional-review-board-statement.pdf
Non-Native Speakers of English Editing Certificate 115910-non-native-speakers.pdf
Peer-review Report 115910-peer-reviews.pdf
Scientific Misconduct Check 115910-scientific-misconduct-check.png
Scientific Editor Work List 115910-scientific-editor-work-list.pdf
CrossCheck Report 115910-crosscheck-report.pdf