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Publication Name World Journal of Gastrointestinal Surgery
Manuscript ID 118910
Country China
Received
2026-01-13 10:30
Peer-Review Started
2026-01-13 10:30
First Decision by Editorial Office Director
2026-01-29 08:06
Return for Revision
2026-01-29 08:06
Revised
2026-02-08 14:12
Publication Fee Transferred
2026-02-09 08:23
Second Decision by Editor
2026-03-09 02:46
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-03-09 06:10
Articles in Press
2026-03-09 06:10
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-06-09 00:23
Publish the Manuscript Online
2026-06-24 09:13
ISSN 1948-9366 (online)
Open Access This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright © Author(s) (or their employer(s)) 2026. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
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 Predictive value of portal venous phase computed tomography parameters for anastomotic stricture after D2 gastrectomy
Manuscript Source Unsolicited Manuscript
All Author List Hui Zhang, Bo Zhu and Gen-Ji Bai
ORCID
Author(s) ORCID Number
Gen-Ji Bai http://orcid.org/0000-0002-6891-9721
Funding Agency and Grant Number
Corresponding Author Gen-Ji Bai, Department of Medical Imaging, The Affiliated Huaian No. 1 People’s Hospital of Nanjing Medical University, No. 1 Huanghe West Road, Huaiyin District, Huai’an 223300, Jiangsu Province, China. hybgj0451@163.com
Key Words Gastric cancer; D2 gastrectomy; Anastomotic stricture; Enhanced computed tomography; Portal venous phase; Prediction model
Core Tip Preoperative portal venous phase computed tomography (CT) provides quantitative perfusion indicators relevant to anastomotic healing. Decreased normalized portal vein (PV) CT value and reduced PV-to-aorta CT value ratio were significantly associated with postoperative anastomotic stricture after D2 gastrectomy. These parameters, along with body mass index ≥ 25, diabetes, total gastrectomy, and use of a 25-mm stapler, were independent risk factors. Normalized PV CT value showed superior predictive performance among single markers, and the combined clinical-imaging model achieved excellent discrimination (area under the curve = 0.893) and a high negative predictive value (97.9%). These CT parameters enable preoperative risk stratification, helping identify patients who may benefit from enhanced monitoring or modified surgical strategies. This simple, non-invasive CT-based tool supports individualized perioperative management in gastric cancer surgery.
Publish Date 2026-06-24 09:13
Citation

Zhang H, Zhu B, Bai GJ. Predictive value of portal venous phase computed tomography parameters for anastomotic stricture after D2 gastrectomy. World J Gastrointest Surg 2026; 18(6): 118910

URL https://www.wjgnet.com/1948-9366/full/v18/i6/118910.htm
DOI https://doi.org/10.4240/wjgs.118910
Full Article (PDF) WJGS-18-118910-with-cover.pdf
Manuscript File 118910_Auto_Edited-YJP.docx
Answering Reviewers 118910-answering-reviewers.pdf
Audio Core Tip 118910-audio.mp3
Biostatistics Review Certificate 118910-biostatistics-statement.pdf
Conflict-of-Interest Disclosure Form 118910-conflict-of-interest-statement.pdf
Copyright License Agreement 118910-copyright-assignment.pdf
Signed Informed Consent Form(s) or Document(s) 118910-informed-consent-statement.pdf
Institutional Review Board Approval Form or Document 118910-institutional-review-board-statement.pdf
Non-Native Speakers of English Editing Certificate 118910-non-native-speakers.pdf
Peer-review Report 118910-peer-reviews.pdf
Scientific Misconduct Check 118910-scientific-misconduct-check.png
Scientific Editor Work List 118910-scientific-editor-work-list.pdf
CrossCheck Report 118910-crosscheck-report.pdf