Publication Name	World Journal of Gastroenterology
Manuscript ID	32160
Country	South Korea

Received	2016-12-28 10:50
Peer-Review Started	2016-12-28 16:10
To Make the First Decision	2017-02-10 08:44
Return for Revision	2017-02-13 13:16
Revised	2017-02-15 10:29
Second Decision	2017-03-01 11:13
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2017-03-02 17:00
Articles in Press	2017-03-02 17:00
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript	2017-03-09 15:17
Publish the Manuscript Online	2017-03-19 18:45

ISSN	1007-9327 (print) and 2219-2840 (online)
Open Access	This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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/
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Category	Gastroenterology & Hepatology
Manuscript Type	Retrospective Study
Article Title	Pancreatic hardness: Correlation of surgeon’s palpation, durometer measurement and preoperative magnetic resonance imaging features
Manuscript Source	Invited Manuscript
All Author List	Tae Ho Hong, Joon-Il Choi, Michael Yong Park, Sung Eun Rha, Young Joon Lee, Young Kyoung You and Moon Hyung Choi
Funding Agency and Grant Number
Corresponding Author	Moon Hyung Choi, MD, Assistant Professor, Department of Radiology, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, South Korea. choimh1205@gmail.com
Key Words	Pancreas; Texture; Hardness; Magnetic resonance imaging; Fistula
Core Tip	The texture of the pancreas is an important predictive factor for the development of postoperative complications following pancreatic surgery. Durometric measurements correlated well with surgeons’ palpation-based assessment of the hardness of pancreas and histologic evaluation for fibrosis and fat content. If we could estimate the texture of the pancreas pre-operatively, it would be very helpful for surgeons to prepare for the possibility of postoperative pancreatic leakage or fistula. Preoperative magnetic resonance imaging (MRI) can be used to predict the hardness of pancreas. Apparent diffusion coefficient (ADC) values measured in MRI were significantly lower in the hard pancreas than soft pancreas. The ductal diameter and duct-to-pancreas ratio were significantly higher in the hard pancreas. For durometer measurements, a correlation analysis showed a positive correlation with the ductal diameter and the duct-to-pancreas ratio and a negative correlation with ADC values.
Publish Date	2017-03-19 18:45
Citation	Hong TH, Choi JI, Park MY, Rha SE, Lee YJ, You YK, Choi MH. Pancreatic hardness: Correlation of surgeon’s palpation, durometer measurement and preoperative magnetic resonance imaging features. World J Gastroenterol 2017; 23(11): 2044-2051
URL	http://www.wjgnet.com/1007-9327/full/v23/i11/2044.htm
DOI	http://dx.doi.org/10.3748/wjg.v23.i11.2044

Full Article (PDF)	WJG-23-2044.pdf
Full Article (Word)	WJG-23-2044.doc
Manuscript File	32160-Review.docx
Answering Reviewers	32160-Answering reviewers.pdf
Audio Core Tip	32160-Audio core tip.wma
Biostatistics Review Certificate	32160-Biostatistics statement.pdf
Conflict-of-Interest Disclosure Form	32160-Conflict-of-interest statement.pdf
Copyright License Agreement	32160-Copyright assignment.pdf
Approved Grant Application Form(s) or Funding Agency Copy of any Approval Document(s)	32160-Grant application form(s).pdf
Signed Informed Consent Form(s) or Document(s)	Informed_Consent_Statement_20161227133243.pdf
Institutional Review Board Approval Form or Document	32160-Institutional review board statement.pdf
Non-Native Speakers of English Editing Certificate	32160-Language certificate.pdf
Peer-review Report	32160-Peer-review(s).pdf
Scientific Misconduct Check	32160-Scientific misconduct check.pdf
Scientific Editor Work List	32160-Scientific editor work list.pdf