{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T07:37:22Z","timestamp":1792481842099,"version":"4.5.0"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,2,6]],"date-time":"2022-02-06T00:00:00Z","timestamp":1644105600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2022,2,6]],"date-time":"2022-02-06T00:00:00Z","timestamp":1644105600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2022,2,6]],"date-time":"2022-02-06T00:00:00Z","timestamp":1644105600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Gastric pneumatosis (GP) is a rare radiologic finding with an unpredictable prognosis. The aim of this study was to identify mortality risk factors from patients presenting with GP on computed tomography (CT), and to develop a model which would allow us to predict which patients would benefit most from operative management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between 2010 and 2020, all CT\u2010scan reports in four tertiary centers were searched for the following terms: \u201cgastric pneumatosis,\u201d \u201cintramural gastric air\u201d or \u201cemphysematous gastritis.\u201d The retrieved CT scans were reviewed by a senior surgeon and a senior radiologist. Relevant clinical and laboratory data for these patients were extracted from the institutions\u2019 medical records.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 58 patients with GP, portal venous gas and bowel ischemia were present on CT scan in 52 (90%) and 17 patients (29%), respectively. The 30\u2010day mortality rate was 31%. Univariate analysis identified the following variables as predictive of mortality at the time of the diagnosis of GP: abdominal guarding, hemodynamic instability, arterial lactate level\u2009&gt;2\u00a0mmol\/l, and the absence of gastric dilatation. Multivariable analysis identified the following variables as independent predictors of mortality: arterial lactate level (OR: 1.39, 95% CI: 1.07\u20131.79) and the absence of gastric dilatation (OR: 0.07, 95% CI: 0.01\u20130.79). None of the patients presenting with a baseline lactate rate&lt;2\u00a0mmol\/l died within 30\u00a0days following diagnosis, and no more than 17 patients out of 58 had bowel ischemia (29%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>GP could be managed non\u2010operatively, even in the presence of portal venous gas. However, patients with arterial lactate level&gt;2\u00a0mmol\/l, or the absence of gastric dilation should be surgically explored due to a non\u2010negligible risk of mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00268-021-06433-5","type":"journal-article","created":{"date-parts":[[2022,2,6]],"date-time":"2022-02-06T17:02:41Z","timestamp":1644166961000},"page":"784-790","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Gastric Pneumatosis with Portal Venous Gas can be Treated Non\u2010operatively: A Retrospective Multi\u2010institutional Study"],"prefix":"10.1002","volume":"46","author":[{"given":"Antoine","family":"Epin","sequence":"first","affiliation":[{"name":"Service de chirurgie digestive et canc\u00e9rologique CHU Nord Saint Etienne Avenue Albert Raimond 42270 Saint\u2010Priest\u2010en\u2010Jarez France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guillaume","family":"Passot","sequence":"additional","affiliation":[{"name":"Service de chirurgie digestive Lyon Sud, Hospices civils de Lyon Chemin du Grand Revoyet 69310 Pierre\u2010B\u00e9nite France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niki","family":"Christou","sequence":"additional","affiliation":[{"name":"Service de chirurgie digestive CHU Dupuytren Limoges Avenue Martin Luther King 87042 Limoges France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Monneuse","sequence":"additional","affiliation":[{"name":"Service de chirurgie d'urgence\u2010chirurgie g\u00e9n\u00e9rale Hopital Edouard Herriot, Hospices civils de Lyon 5 place d'Arsonval 69437 Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Yves","family":"Mabrut","sequence":"additional","affiliation":[{"name":"Service de chirurgie g\u00e9n\u00e9rale, digestive et transplantation Hopital de La Croix Rousse, Hospices civils de Lyon 103 Grande rue de la croix Rousse 69004 Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre\u2010Alexandre","family":"Ferrero","sequence":"additional","affiliation":[{"name":"Service de chirurgie digestive CHU Dupuytren Limoges Avenue Martin Luther King 87042 Limoges France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastien","family":"Caudron","sequence":"additional","affiliation":[{"name":"Service de chirurgie digestive CHU Dupuytren Limoges Avenue Martin Luther King 87042 Limoges France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denis","family":"Pezet","sequence":"additional","affiliation":[{"name":"Service de chirurgie digestive et h\u00e9patobiliaire CHU Clermont\u2010Ferrand Place Lucie Aubrac 63100 Clermont\u2010Ferrand France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benoit","family":"Magnin","sequence":"additional","affiliation":[{"name":"Service de radiologie interventionnelle CHU Clermont\u2010Ferrand Place Lucie Aubrac 63100 Clermont\u2010Ferrand France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R\u00e9mi","family":"Grange","sequence":"additional","affiliation":[{"name":"Service de radiologie CHU Nord Saint Etienne Avenue Albert Raimond 42270 Saint\u2010Priest\u2010en\u2010Jarez France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e9line","family":"Lambert","sequence":"additional","affiliation":[{"name":"Unit\u00e9 de biostatistiques DRCI, CHU de Clermont\u2010Ferrand 63000 Clermont\u2010Ferrand France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Williet","sequence":"additional","affiliation":[{"name":"Service d'h\u00e9pato gastroent\u00e9rologie CHU Nord Saint Etienne Avenue Albert Raimond 42270 Saint\u2010Priest\u2010en\u2010Jarez France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandros N.","family":"Flaris","sequence":"additional","affiliation":[{"name":"Service de chirurgie digestive Lyon Sud, Hospices civils de Lyon Chemin du Grand Revoyet 69310 Pierre\u2010B\u00e9nite France"},{"name":"Department of Surgery School of Medicine Tulane University 70112 New Orleans LA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bertrand","family":"Le Roy","sequence":"additional","affiliation":[{"name":"Service de chirurgie digestive et canc\u00e9rologique CHU Nord Saint Etienne Avenue Albert Raimond 42270 Saint\u2010Priest\u2010en\u2010Jarez France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,2,6]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10140\u2010010\u20100888\u20105"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010014\u20102882\u20107"},{"key":"e_1_2_8_4_1","doi-asserted-by":"crossref","unstructured":"NemakayalaDR RaiMP RayamajhiS et al (2018) Role of conservative management in emphysematous gastritis.BMJ Case Rep bcr2017222118","DOI":"10.1136\/bcr-2017-222118"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/000313481808401117"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.14309\/crj.2017.91"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinre.2016.02.011"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2012.12.021"},{"issue":"2","key":"e_1_2_8_9_1","first-page":"219","article-title":"Gastric pneumatosis: the spectrum of the disease","volume":"85","author":"Pastor\u2010Sifuentes FU","year":"2020","journal-title":"Rev Gastroenterol Mex (Engl Ed)"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.2307\/2531595"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.4103\/0971\u20103026.202957"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010006\u20100589\u20100"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.15.3585"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2014.07.007"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620\u2010017\u20104807\u20104"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181b13ca2"}],"container-title":["World Journal of 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December 2021","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 February 2022","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no competing interests concerning this article.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The authors declare that they comply with journal\u2019s ethical policies. The anonymous data collection was supported by an ethical approval with ID IRBN702021\/CHUSTE issued by the Institutional Review Board: IORG0007394.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"All patients signed consent for publication.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}}]}}