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11/12/2026 3:43:53 AM | Browse: 3 | Download: 113
Publication Name World Journal of Gastrointestinal Surgery
Manuscript ID 119120
Country China
Received
2026-01-20 01:45
Peer-Review Started
2026-01-20 01:51
First Decision by Editorial Office Director
2026-01-29 08:06
Return for Revision
2026-01-29 08:06
Revised
2026-01-30 08:49
Publication Fee Transferred
Second Decision by Editor
2026-03-02 02:48
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-03-02 03:54
Articles in Press
2026-03-02 03:54
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-07-01 04:15
Publish the Manuscript Online
2026-11-12 03:43
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 © 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 Editorial
Article Title Preoperative depression as a neuroimmune-cholinergic vulnerability state for postoperative cognitive dysfunction after gastrointestinal cancer surgery
Manuscript Source Invited Manuscript
All Author List Gang Wang and Sheng-Jie Pan
ORCID
Author(s) ORCID Number
Gang Wang http://orcid.org/0009-0009-8864-7688
Funding Agency and Grant Number
Corresponding Author Gang Wang, MD, PhD, Professor, Department of General Surgery, The First Affiliated Hospital of Soochow University, No. 899 Pinghai Road, Suzhou 215006, Jiangsu Province, China. 286651551@qq.com
Key Words Postoperative cognitive dysfunction; Preoperative depression; Gastrointestinal tumor surgery; Cholinergic dysfunction; Neuroinflammation; Interleukin-6; Perioperative brain health
Core Tip Postoperative cognitive dysfunction (POCD) is a frequent yet underappreciated complication in elderly patients undergoing gastrointestinal tumor surgery. This editorial highlight emerging evidence that preoperative depression represents a biologically active vulnerability state that predisposes patients to POCD through synergistic neuroinflammatory activation and cholinergic dysfunction. By integrating findings on interleukin-6-mediated inflammation and impaired cholinergic regulation, the article reframes POCD as a disorder of perioperative brain resilience. This perspective supports earlier risk identification and mechanism-based preventive strategies to preserve cognitive health in aging surgical populations.
Publish Date 2026-11-12 03:43
Citation

Wang G, Pan SJ. Preoperative depression as a neuroimmune-cholinergic vulnerability state for postoperative cognitive dysfunction after gastrointestinal cancer surgery. World J Gastrointest Surg 2026; 18(11): 119120

URL https://www.wjgnet.com/1948-9366/full/v18/i11/119120.htm
DOI https://doi.org/10.4240/wjgs.119120
Full Article (PDF) WJGS-18-119120-with-cover.pdf