{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T16:25:06Z","timestamp":1784132706320,"version":"3.55.0"},"reference-count":36,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,8,23]],"date-time":"2025-08-23T00:00:00Z","timestamp":1755907200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,8,23]],"date-time":"2025-08-23T00:00:00Z","timestamp":1755907200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"name":"Fujian Provincial Natural Science Foundation of China","award":["2024J01596"],"award-info":[{"award-number":["2024J01596"]}]},{"name":"Joint Funds for the Innovation of Science and Technology, Fujian province","award":["2018Y92042"],"award-info":[{"award-number":["2018Y92042"]}]},{"name":"Joint Funds for the Innovation of Science and Technology, Fujian province","award":["2018Y9203"],"award-info":[{"award-number":["2018Y9203"]}]},{"name":"Fujian provincial health technology project for Young and Middle-aged Core Talents","award":["2021GGA015"],"award-info":[{"award-number":["2021GGA015"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Surg"],"DOI":"10.1186\/s12893-025-03045-x","type":"journal-article","created":{"date-parts":[[2025,8,23]],"date-time":"2025-08-23T08:47:32Z","timestamp":1755938852000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["An easily acquirable predictive model for strangulated bowel obstruction: the BAR-N"],"prefix":"10.1186","volume":"25","author":[{"given":"Cuifeng","family":"Zheng","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"BaoWei","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pingxia","family":"Lu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weixuan","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shenhui","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xianqiang","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junrong","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhengyuan","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,8,23]]},"reference":[{"key":"3045_CR1","doi-asserted-by":"publisher","first-page":"304","DOI":"10.1186\/s12876-022-02363-1","volume":"22","author":"WX Xu","year":"2022","unstructured":"Xu WX, et al. Prediction and management of strangulated bowel obstruction: a multi-dimensional model analysis. BMC Gastroenterol. 2022;22:304. https:\/\/doi.org\/10.1186\/s12876-022-02363-1.","journal-title":"BMC Gastroenterol"},{"key":"3045_CR2","doi-asserted-by":"crossref","unstructured":"Maung AA, Piper JD, Barbosa GL, Rowell RR, Bokhari SE. F Evaluation and management of small-bowel obstruction: an Eastern association for the surgery of trauma practice management guideline. J Trauma Acute Care Surg. 2012.","DOI":"10.1097\/TA.0b013e31827019de"},{"key":"3045_CR3","doi-asserted-by":"publisher","first-page":"2760","DOI":"10.3748\/wjg.v22.i9.2760","volume":"22","author":"J Grootjans","year":"2016","unstructured":"Grootjans J, Lenaerts K, Buurman WA, Dejong CHC, Derikx JPM. Life and death at the mucosal-luminal interface: new perspectives on human intestinal ischemia-reperfusion. World J Gastroenterol. 2016;22:2760\u201370. https:\/\/doi.org\/10.3748\/wjg.v22.i9.2760.","journal-title":"World J Gastroenterol"},{"key":"3045_CR4","doi-asserted-by":"publisher","unstructured":"10784595. GM. -d. s.-.-x. E. I. G. J.-P. American gastroenterological association medical position statement: guidelines on I.testinal I.chemia. Gastroenterology. 2000. https:\/\/doi.org\/10.1016\/S0016-5085(00)70182-X.","DOI":"10.1016\/S0016-5085(00)70182-X"},{"key":"3045_CR5","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.164.10.1054","author":"WA Oldenburg","year":"2004","unstructured":"Oldenburg WA, Rodenberg LL, Edmonds TJ, Burger HJ. Acute mesenteric ischemia: a clinical review. Arch Intern Med. 2004. https:\/\/doi.org\/10.1001\/archinte.164.10.1054.","journal-title":"Arch Intern Med"},{"key":"3045_CR6","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1111\/j.1365-2036.2005.02269.x","volume":"21","author":"PL Kozuch","year":"2005","unstructured":"Kozuch PL, Brandt LJ. Review article: diagnosis and management of mesenteric ischaemia with an emphasis on pharmacotherapy. Aliment Pharm Ther. 2005;21:201\u201315. https:\/\/doi.org\/10.1111\/j.1365-2036.2005.02269.x.","journal-title":"Aliment Pharm Ther"},{"key":"3045_CR7","doi-asserted-by":"publisher","first-page":"227","DOI":"10.5847\/wjem.j.issn.1920-8642.2012.03.012","volume":"3","author":"S Pothiawala","year":"2012","unstructured":"Pothiawala S, Gogna A. Early diagnosis of bowel obstruction and strangulation by computed tomography in emergency department. World J Emerg Med. 2012;3:227\u201331. https:\/\/doi.org\/10.5847\/wjem.j.issn.1920-8642.2012.03.012.","journal-title":"World J Emerg Med"},{"key":"3045_CR8","doi-asserted-by":"publisher","first-page":"798","DOI":"10.1148\/radiol.2017162352","volume":"285","author":"I Millet","year":"2017","unstructured":"Millet I, et al. Assessment of strangulation in adhesive small bowel obstruction on the basis of combined CT findings: implications for clinical care. Radiology. 2017;285:798\u2013808. https:\/\/doi.org\/10.1148\/radiol.2017162352.","journal-title":"Radiology"},{"key":"3045_CR9","doi-asserted-by":"publisher","first-page":"910","DOI":"10.1007\/s00268-010-0479-3","volume":"34","author":"MD Zielinski","year":"2010","unstructured":"Zielinski MD, et al. Small bowel obstruction-who needs an operation? A multivariate prediction model. World J Surg. 2010;34:910\u20139. https:\/\/doi.org\/10.1007\/s00268-010-0479-3.","journal-title":"World J Surg"},{"key":"3045_CR10","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1007\/s11605-008-0610-z","volume":"13","author":"T Jancelewicz","year":"2009","unstructured":"Jancelewicz T, et al. Predicting strangulated small bowel obstruction: an old problem revisited. J Gastrointest Surg. 2009;13:93\u20139. https:\/\/doi.org\/10.1007\/s11605-008-0610-z.","journal-title":"J Gastrointest Surg"},{"key":"3045_CR11","doi-asserted-by":"publisher","first-page":"1823","DOI":"10.1007\/s00330-014-3440-2","volume":"25","author":"I Millet","year":"2015","unstructured":"Millet I, Taourel P, Ruyer A, Molinari N. Value of CT findings to predict surgical ischemia in small bowel obstruction: A systematic review and meta-analysis. Eur Radiol. 2015;25:1823\u201335. https:\/\/doi.org\/10.1007\/s00330-014-3440-2.","journal-title":"Eur Radiol"},{"key":"3045_CR12","doi-asserted-by":"publisher","first-page":"1068","DOI":"10.1016\/j.jamcollsurg.2011.02.023","volume":"212","author":"MD Zielinski","year":"2011","unstructured":"Zielinski MD, et al. Prospective, observational validation of a multivariate small-bowel obstruction model to predict the need for operative intervention. J Am Coll Surg. 2011;212:1068\u201376. https:\/\/doi.org\/10.1016\/j.jamcollsurg.2011.02.023.","journal-title":"J Am Coll Surg"},{"key":"3045_CR13","doi-asserted-by":"publisher","first-page":"1312","DOI":"10.1016\/S0140-6736(17)30057-0","volume":"389","author":"EC Nijssen","year":"2017","unstructured":"Nijssen EC, et al. Prophylactic hydration to protect renal function from intravascular iodinated contrast material in patients at high risk of contrast-induced nephropathy (AMACING): a prospective, randomised, phase 3, controlled, open-label, non-inferiority trial. Lancet. 2017;389:1312\u201322. https:\/\/doi.org\/10.1016\/S0140-6736(17)30057-0.","journal-title":"Lancet"},{"key":"3045_CR14","doi-asserted-by":"publisher","first-page":"154","DOI":"10.1186\/s12876-021-01746-0","volume":"21","author":"X Zhuang","year":"2021","unstructured":"Zhuang X, Chen F, Zhou Q, Zhu Y, Yang X. A rapid preliminary prediction model for intestinal necrosis in acute mesenteric ischemia: a retrospective study. BMC Gastroenterol. 2021;21:154. https:\/\/doi.org\/10.1186\/s12876-021-01746-0.","journal-title":"BMC Gastroenterol"},{"key":"3045_CR15","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1016\/j.avsg.2017.01.007","volume":"42","author":"SL Zettervall","year":"2017","unstructured":"Zettervall SL, et al. Trends in treatment and mortality for mesenteric ischemia in the united States from 2000 to 2012. Ann Vasc Surg. 2017;42:111\u20139. https:\/\/doi.org\/10.1016\/j.avsg.2017.01.007.","journal-title":"Ann Vasc Surg"},{"key":"3045_CR16","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1016\/j.jviscsurg.2019.12.008","volume":"157","author":"L Matray","year":"2020","unstructured":"Matray L, Roisin S, Sabbagh C. Arterial revascularization following acute mesenteric ischemia. J Visc Surg. 2020;157:53\u20138. https:\/\/doi.org\/10.1016\/j.jviscsurg.2019.12.008.","journal-title":"J Visc Surg"},{"key":"3045_CR17","doi-asserted-by":"publisher","first-page":"5025","DOI":"10.3748\/wjg.v19.i30.5025","volume":"19","author":"HK Kim","year":"2013","unstructured":"Kim HK, Chun JM, Huh S. Anticoagulation and delayed bowel resection in the management of mesenteric venous thrombosis. World J Gastroenterol. 2013;19:5025\u20138. https:\/\/doi.org\/10.3748\/wjg.v19.i30.5025.","journal-title":"World J Gastroenterol"},{"key":"3045_CR18","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1016\/j.thromres.2014.10.018","volume":"135","author":"S Yang","year":"2015","unstructured":"Yang S, et al. Multidisciplinary Stepwise management strategy for acute superior mesenteric venous thrombosis: an intestinal stroke center experience. Thromb Res. 2015;135:36\u201345. https:\/\/doi.org\/10.1016\/j.thromres.2014.10.018.","journal-title":"Thromb Res"},{"key":"3045_CR19","doi-asserted-by":"publisher","first-page":"519","DOI":"10.1016\/j.lpm.2018.03.019","volume":"47","author":"A Nuzzo","year":"2018","unstructured":"Nuzzo A, Huguet A, Corcos O. [Modern treatment of mesenteric ischemia]. Presse Med. 2018;47:519\u201330. https:\/\/doi.org\/10.1016\/j.lpm.2018.03.019.","journal-title":"Presse Med"},{"key":"3045_CR20","doi-asserted-by":"publisher","first-page":"348","DOI":"10.1038\/s41395-018-0389-9","volume":"114","author":"A Nuzzo","year":"2019","unstructured":"Nuzzo A, et al. Oral antibiotics reduce intestinal necrosis in acute mesenteric ischemia: A prospective cohort study. Am J Gastroenterol. 2019;114:348\u201351. https:\/\/doi.org\/10.1038\/s41395-018-0389-9.","journal-title":"Am J Gastroenterol"},{"key":"3045_CR21","doi-asserted-by":"publisher","first-page":"31049","DOI":"10.1038\/s41598-024-82131-1","volume":"14","author":"Y Zhu","year":"2024","unstructured":"Zhu Y, et al. Development and validation of a nomogram model to predict the risk of strangulated intestinal obstruction. Sci Rep. 2024;14:31049. https:\/\/doi.org\/10.1038\/s41598-024-82131-1.","journal-title":"Sci Rep"},{"key":"3045_CR22","doi-asserted-by":"publisher","first-page":"394","DOI":"10.1016\/j.surg.2010.08.007","volume":"149","author":"H Markogiannakis","year":"2011","unstructured":"Markogiannakis H, et al. Predictive value of procalcitonin for bowel ischemia and necrosis in bowel obstruction. Surgery. 2011;149:394\u2013403. https:\/\/doi.org\/10.1016\/j.surg.2010.08.007.","journal-title":"Surgery"},{"key":"3045_CR23","doi-asserted-by":"publisher","first-page":"1625","DOI":"10.1007\/s00261-022-03410-x","volume":"47","author":"SD Graber","year":"2022","unstructured":"Graber SD, Sinz S, Turina M, Alkadhi H. Pneumatosis intestinalis in abdominal CT: predictors of short-term mortality in patients with clinical suspicion of mesenteric ischemia. Abdom Radiol (NY). 2022;47:1625\u201335. https:\/\/doi.org\/10.1007\/s00261-022-03410-x.","journal-title":"Abdom Radiol (NY)"},{"key":"3045_CR24","doi-asserted-by":"publisher","first-page":"1123","DOI":"10.2169\/internalmedicine.49.2813","volume":"49","author":"E Ishikawa","year":"2010","unstructured":"Ishikawa E, et al. Cecal intussusception in an adult with Cronkhite-Canada syndrome relieved by colonoscopy. Intern Med. 2010;49:1123\u20136. https:\/\/doi.org\/10.2169\/internalmedicine.49.2813.","journal-title":"Intern Med"},{"key":"3045_CR25","doi-asserted-by":"publisher","first-page":"1563","DOI":"10.1111\/j.1600-6143.2011.03579.x","volume":"11","author":"Y Zhai","year":"2011","unstructured":"Zhai Y, Busuttil RW, Kupiec-Weglinski JW. Liver ischemia and reperfusion injury: new insights into mechanisms of innate-adaptive immune-mediated tissue inflammation. Am J Transpl. 2011;11:1563\u20139. https:\/\/doi.org\/10.1111\/j.1600-6143.2011.03579.x.","journal-title":"Am J Transpl"},{"key":"3045_CR26","doi-asserted-by":"crossref","unstructured":"Liu B et al. Butyrate protects rat liver against total hepatic ischemia reperfusion injury with bowel congestion. PLoS ONE. 2014;9. https:\/\/doi.org\/ARTNe10618410.1371\/journal.pone.0106184","DOI":"10.1371\/journal.pone.0106184"},{"key":"3045_CR27","doi-asserted-by":"publisher","first-page":"369","DOI":"10.1097\/00000658-199003000-00009","volume":"211","author":"JS Thompson","year":"1990","unstructured":"Thompson JS, Bragg LE, West WW. Serum enzyme levels during intestinal ischemia. Ann Surg. 1990;211:369\u201373. https:\/\/doi.org\/10.1097\/00000658-199003000-00009.","journal-title":"Ann Surg"},{"key":"3045_CR28","doi-asserted-by":"publisher","unstructured":"Lee DH et al. Predicted lean body mass, fat mass, and all cause and cause specific mortality in men: prospective US cohort study. BMJ 362, k2575. 2018. https:\/\/doi.org\/10.1136\/bmj.k2575","DOI":"10.1136\/bmj.k2575"},{"key":"3045_CR29","doi-asserted-by":"publisher","first-page":"i2156","DOI":"10.1136\/bmj.i2156","volume":"353","author":"D Aune","year":"2016","unstructured":"Aune D, et al. BMI and all cause mortality: systematic review and non-linear dose-response meta-analysis of 230 cohort studies with 3.74 million deaths among 30.3 million participants. BMJ. 2016;353:i2156. https:\/\/doi.org\/10.1136\/bmj.i2156.","journal-title":"BMJ"},{"key":"3045_CR30","doi-asserted-by":"publisher","first-page":"424","DOI":"10.1007\/s00423-023-03157-z","volume":"408","author":"J Le Pessot","year":"2023","unstructured":"Le Pessot J, Pellegrin A, Regimbeau JM, Sabbagh C. Risk factors for ischemia\/necrosis of the colonic stump after proctectomy and delayed coloanal anastomosis. Langenbecks Arch Surg. 2023;408:424. https:\/\/doi.org\/10.1007\/s00423-023-03157-z.","journal-title":"Langenbecks Arch Surg"},{"key":"3045_CR31","doi-asserted-by":"crossref","unstructured":"Murao S et al. Ischemia prediction score (IsPS) in patients with strangulated small bowel obstruction: a retrospective cohort study. Bmc Gastroenterology. 2023;23.https:\/\/doi.org\/ARTN13310.1186\/s12876-023-02761-z","DOI":"10.1186\/s12876-023-02761-z"},{"key":"3045_CR32","doi-asserted-by":"crossref","unstructured":"Kobayashi T et al. Prediction model for irreversible intestinal ischemia in strangulated bowel obstruction. Bmc Surgery. 2022;22. https:\/\/doi.org\/ARTN32110.1186\/s12893-022-01769-8.","DOI":"10.1186\/s12893-022-01769-8"},{"key":"3045_CR33","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1111\/jch.12749","volume":"18","author":"XH Zhang","year":"2016","unstructured":"Zhang XH, et al. Implementation of world health organization package of essential noncommunicable disease interventions (WHO PEN) for primary health care in Low-Resource settings: A policy statement from the world hypertension league. J Clin Hypertens. 2016;18:5\u20136. https:\/\/doi.org\/10.1111\/jch.12749.","journal-title":"J Clin Hypertens"},{"key":"3045_CR34","doi-asserted-by":"publisher","first-page":"1513","DOI":"10.1016\/S0140-6736(21)02796-3","volume":"399","author":"HD Wang","year":"2022","unstructured":"Wang HD, et al. Estimating excess mortality due to the COVID-19 pandemic: a systematic analysis of COVID-19-related mortality, 2020-21. Lancet. 2022;399:1513\u201336. https:\/\/doi.org\/10.1016\/S0140-6736(21)02796-3.","journal-title":"Lancet"},{"key":"3045_CR35","doi-asserted-by":"publisher","first-page":"1115","DOI":"10.1016\/S1470-2045(21)00274-6","volume":"22","author":"A Gafita","year":"2021","unstructured":"Gafita A, et al. Nomograms to predict outcomes after (177)Lu-PSMA therapy in men with metastatic castration-resistant prostate cancer: an international, multicentre, retrospective study. Lancet Oncol. 2021;22:1115\u201325. https:\/\/doi.org\/10.1016\/S1470-2045(21)00274-6.","journal-title":"Lancet Oncol"},{"key":"3045_CR36","doi-asserted-by":"publisher","first-page":"2157","DOI":"10.1200\/JCO.2015.65.9128","volume":"34","author":"YQ Huang","year":"2016","unstructured":"Huang YQ, et al. Development and validation of a radiomics nomogram for preoperative prediction of lymph node metastasis in colorectal Cancer. J Clin Oncol. 2016;34:2157\u201364. https:\/\/doi.org\/10.1200\/JCO.2015.65.9128.","journal-title":"J Clin Oncol"}],"container-title":["BMC Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-025-03045-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12893-025-03045-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-025-03045-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,23]],"date-time":"2025-08-23T08:47:34Z","timestamp":1755938854000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcsurg.biomedcentral.com\/articles\/10.1186\/s12893-025-03045-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,23]]},"references-count":36,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["3045"],"URL":"https:\/\/doi.org\/10.1186\/s12893-025-03045-x","relation":{},"ISSN":["1471-2482"],"issn-type":[{"value":"1471-2482","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,23]]},"assertion":[{"value":"28 April 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 June 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 August 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study protocol was approved by the Institutional Review Board of Fujian Medical University Union Hospital. Written informed consent was obtained from all individual participants prior to their inclusion in the study. All procedures performed in studies involving human participants were conducted in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"385"}}