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Publication Name World Journal of Gastrointestinal Surgery
Manuscript ID 118291
Country Malaysia
Received
2025-12-29 02:54
Peer-Review Started
2025-12-29 02:54
First Decision by Editorial Office Director
2026-01-09 07:44
Return for Revision
2026-01-09 07:44
Revised
2026-01-14 07:25
Publication Fee Transferred
Second Decision by Editor
2026-02-09 02:47
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-02-09 05:13
Articles in Press
2026-02-09 05:13
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-06-05 00:34
Publish the Manuscript Online
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
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 Surgery
Manuscript Type Correspondence
Article Title Letter to the Editor: Rethinking emergency care pathways for acute intestinal obstruction: From haywire to high performance
Manuscript Source Invited Manuscript
All Author List Nabil Mohammad Azmi, Diana Melissa Dualim, Soma Balaganapati Chandrakanthan, Zairul Azwan Mohd Azman, Mohd Firdaus Mohd Hayati and Andee Dzulkarnaen Zakaria
ORCID
Author(s) ORCID Number
Nabil Mohammad Azmi http://orcid.org/0009-0002-6129-3786
Soma Balaganapati Chandrakanthan http://orcid.org/0000-0002-5211-1023
Zairul Azwan Mohd Azman http://orcid.org/0000-0001-9721-466X
Mohd Firdaus Mohd Hayati http://orcid.org/0000-0002-3757-9744
Andee Dzulkarnaen Zakaria http://orcid.org/0000-0002-4826-9725
Funding Agency and Grant Number
Corresponding Author Andee Dzulkarnaen Zakaria, MD, Professor, Department of Surgery, School of Medical Sciences & Hospital USM, Universiti Sains Malaysia, 11800 Gelugor, Pulau Pinang, Kota Bharu 16150, Kelantan, Malaysia. andee@usm.my
Key Words Acute intestinal obstruction; Gastrointestinal surgery; Emergency medicine; Multidisciplinary; Multidisciplinary team
Core Tip The time to coordination before surgery matters as much as the time to surgery itself. Early, structured multidisciplinary team (MDT) activation in acute intestinal obstruction can significantly shorten triage and treatment times, thereby reducing the risk of bowel ischemia and improving postoperative outcomes. Nursing-led team collaboration plays a central role in coordination, ensuring timely information transfer, prompt responses from key departments, and appropriate escalation of care. This thought-provoking study shows that MDT-based models are effective in promoting early collaboration, timely responses, and structured decision-making. Despite ongoing challenges, their potential to optimize outcomes in acute intestinal obstruction should not be underestimated. This editorial presents a compelling case that an MDT-based care pathway may improve efficiency, reduce emergency department backlogs, and enhance surgical outcomes even in resource-limited settings.
Publish Date 2026-06-24 09:14
Citation

Mohammad Azmi N, Dualim DM, Chandrakanthan SB, Mohd Azman ZA, Mohd Hayati MF, Zakaria AD. Letter to the Editor: Rethinking emergency care pathways for acute intestinal obstruction: From haywire to high performance. World J Gastrointest Surg 2026; 18(6): 118291

URL https://www.wjgnet.com/1948-9366/full/v18/i6/118291.htm
DOI https://doi.org/10.4240/wjgs.118291
Full Article (PDF) WJGS-18-118291-with-cover.pdf
Manuscript File 118291_Auto_Edited_082710.docx
Answering Reviewers 118291-answering-reviewers.pdf
Audio Core Tip 118291-audio.mp3
Conflict-of-Interest Disclosure Form 118291-conflict-of-interest-statement.pdf
Copyright License Agreement 118291-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 118291-non-native-speakers.pdf
Peer-review Report 118291-peer-reviews.pdf
Scientific Misconduct Check 118291-scientific-misconduct-check.png
Scientific Editor Work List 118291-scientific-editor-work-list.pdf
CrossCheck Report 118291-crosscheck-report.pdf