{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:07:43Z","timestamp":1777727263880,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We aimed to investigate the relationship between the visceral to subcutaneous fat area ratio (V\/S ratio) and incidence of early postoperative small bowel obstruction (EPSBO) following total gastrectomy for cardia cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective analysis among patients with cardia cancer who underwent elective total gastrectomy with esophagojejunostomy Roux-en-Y anastomosis at Nanjing Yimin Hospital between November 2019 and April 2024. Preoperative, intraoperative, and postoperative factors were meticulously monitored. The V\/S ratio was calculated using computed tomography scans at the umbilical level with Slice-O-Matic software (Tomovision, Montreal, Canada). Statistical analyses included logistic regression and receiver operating characteristic (ROC) curve analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 175 patients, 27 (15.4%) developed EPSBO. The V\/S ratio was significantly higher in the EPSBO group (1.76\u2009\u00b1\u20091.05 vs. 1.01\u2009\u00b1\u20090.54). Logistic regression identified the V\/S ratio as a significant predictor of EPSBO (odds ratio [OR]\u2009=\u20091.612, 95% [CI]: 1.102\u20131.605). ROC curve analysis demonstrated high sensitivity (92%) and specificity (100%) for the V\/S ratio in predicting EPSBO, with a 0.83 AUC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our findings indicated a higher V\/S ratio was a significant predictor of EPSBO following total gastrectomy for cardia cancer. Preoperative assessment of the V\/S ratio can inform risk stratification and guide targeted interventions to improve postoperative outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03000605241282077","type":"journal-article","created":{"date-parts":[[2024,10,12]],"date-time":"2024-10-12T05:44:31Z","timestamp":1728711871000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Visceral to subcutaneous fat area ratio predicts early postoperative small bowel obstruction after total gastrectomy for cardia cancer"],"prefix":"10.1177","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-1657-0592","authenticated-orcid":false,"given":"Changfeng","family":"Fan","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, Nanjing Yimin Hospital, Nanjing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hailu","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Third People\u2019s Hospital of Lishui District, Nanjing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,10,12]]},"reference":[{"key":"bibr1-03000605241282077","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-010-1189-8"},{"key":"bibr2-03000605241282077","doi-asserted-by":"publisher","DOI":"10.1272\/jnms.JNMS.2024_91-103"},{"key":"bibr3-03000605241282077","doi-asserted-by":"publisher","DOI":"10.1186\/s12957-022-02489-2"},{"key":"bibr4-03000605241282077","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-017-5851-1"},{"key":"bibr5-03000605241282077","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)32636-4"},{"key":"bibr6-03000605241282077","doi-asserted-by":"publisher","DOI":"10.2174\/1381612828666220422090238"},{"key":"bibr7-03000605241282077","doi-asserted-by":"publisher","DOI":"10.1016\/j.prp.2023.154636"},{"key":"bibr8-03000605241282077","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000001286"},{"key":"bibr9-03000605241282077","doi-asserted-by":"publisher","DOI":"10.1016\/j.asjsur.2022.09.133"},{"key":"bibr10-03000605241282077","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.12419"},{"key":"bibr11-03000605241282077","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-022-08697-4"},{"key":"bibr12-03000605241282077","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-019-04259-0"},{"key":"bibr13-03000605241282077","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-018-3065-z"},{"key":"bibr14-03000605241282077","doi-asserted-by":"publisher","DOI":"10.3390\/jcm8040494"},{"key":"bibr15-03000605241282077","doi-asserted-by":"publisher","DOI":"10.7570\/jomes.2019.28.3.186"},{"key":"bibr16-03000605241282077","doi-asserted-by":"publisher","DOI":"10.1038\/nm1733"},{"key":"bibr17-03000605241282077","doi-asserted-by":"publisher","DOI":"10.1177\/03000605241258160"},{"key":"bibr18-03000605241282077","first-page":"385","volume":"73","author":"Peel 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