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Publication Name World Journal of Hepatology
Manuscript ID 123456
Country China
Received
2026-05-25 08:38
Peer-Review Started
2026-05-25 08:39
First Decision by Editorial Office Director
Return for Revision
2026-07-15 02:17
Revised
2026-07-21 06:02
Publication Fee Transferred
2026-07-30 00:07
Second Decision by Editor
2026-08-28 02:55
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-08-28 09:22
Articles in Press
2026-08-28 09:22
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-09-02 01:01
Publish the Manuscript Online
2026-09-17 05:48
ISSN 1948-5182 (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 Analysis of risk factors and a prediction model for rebleeding in liver cirrhosis patients with esophagogastric variceal bleeding
Manuscript Source Unsolicited Manuscript
All Author List Ping-Ping Li, Xiao Zhong, Da-Ya Zhang and Fei-Hu Bai
ORCID
Author(s) ORCID Number
Xiao Zhong http://orcid.org/0009-0002-8150-3576
Fei-Hu Bai http://orcid.org/0009-0000-7819-5272
Funding Agency and Grant Number
Funding Agency Grant Number
the 2025 Hainan Flexible Talent Introduction and Innovation Platform Performance Assessment; the Academic Improvement Support Program of Hainan Medical University No. XSTS2025001 and No. XSTS2026051
Funded Project of the 2026 Undergraduate Scientific Research and Innovation Training Program, Hainan Medical University No. RZ2600001129
the National Clinical Key Specialty Capacity Building Project No. 202330
Hainan Provincial Education Reform Project No. hnjg2024-67
the Joint Scientific and Technological Innovation Project of Health Commission of Hainan Province No. SQ2023WSJK0301
Corresponding Author Fei-Hu Bai, Chief Physician, Department of Gastroenterology, The Second Affiliated Hospital of Hainan Medical University, No. 368 Yehai Avenue, Longhua District, Haikou 570216, Hainan Province, China. hy214654@muhn.edu.cn
Key Words Liver cirrhosis; Esophageal and gastric varices; Esophagogastric variceal rebleeding; Prediction model
Core Tip This single-center retrospective study enrolled 130 cirrhotic patients with esophagogastric variceal bleeding (EGVB) in 2024 and conducted a one-year follow-up, including 62 rebleeding cases and 68 non-rebleeding cases, aiming to address the high mortality of EGVB rebleeding and the lack of simple non-invasive predictive tools for Hainan population. The study identified four independent risk factors for rebleeding -decreased red blood cell, elevated blood urea nitrogen, ascites, and thickening of the gallbladder wall (TGBW); notably, TGBW was originally validated as a novel non-invasive imaging predictor with an odds ratio value of 0.199 (P < 0.001). A reliable nomogram prediction model was further constructed with an original area under the curve (AUC) of 0.853 and a bootstrap internal validation AUC of 0.855, presenting favorable calibration and clinical applicability. Since this model merely requires routine blood tests and ultrasonic indicators, it can realize convenient and non-invasive risk stratification to guide secondary clinical prevention for local patients. Nevertheless, this research is limited by its retrospective nature, single-center setting and relatively small sample size; and further multi-center prospective studies are required to verify the generalizability of the model.
Publish Date 2026-09-17 05:48
Citation

Li PP, Zhong X, Zhang DY, Bai FH. Analysis of risk factors and a prediction model for rebleeding in liver cirrhosis patients with esophagogastric variceal bleeding. World J Hepatol 2026; 18(9): 123456

URL https://www.wjgnet.com/1948-5182/full/v18/i9/123456.htm
DOI https://doi.org/10.4254/wjh.123456
Full Article (PDF) WJH-18-123456-with-cover.pdf
Manuscript File 123456_Auto_Edited_081944.docx
Answering Reviewers 123456-answering-reviewers.pdf
Audio Core Tip 123456-audio.m4a
Biostatistics Review Certificate 123456-biostatistics-statement.pdf
Conflict-of-Interest Disclosure Form 123456-conflict-of-interest-statement.pdf
Copyright License Agreement 123456-copyright-assignment.pdf
Signed Informed Consent Form(s) or Document(s) 123456-informed-consent-statement.pdf
Institutional Review Board Approval Form or Document 123456-institutional-review-board-statement.pdf
Non-Native Speakers of English Editing Certificate 123456-non-native-speakers.pdf
Peer-review Report 123456-peer-reviews.pdf
Scientific Misconduct Check 123456-scientific-misconduct-check.png
CrossCheck Report 123456-crosscheck-report.pdf