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Retrospective Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Dec 27, 2025; 17(12): 113029
Published online Dec 27, 2025. doi: 10.4240/wjgs.v17.i12.113029
Nomogram for prediction of six-month mortality following endovascular treatment of delayed post-pancreatectomy hemorrhage
Ding-Wei Deng, Ai-Xin Leng, Qiang He, Chuan-Guo Zhou
Ding-Wei Deng, Chuan-Guo Zhou, Department of Interventional Radiology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, China
Ai-Xin Leng, Qiang He, Department of Hepatobiliary and Pancreaticosplenic Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, China
Co-first authors: Ding-Wei Deng and Ai-Xin Leng.
Co-corresponding authors: Qiang He and Chuan-Guo Zhou.
Author contributions: Deng DW and Zhou CG designed the research and performed the endovascular interventions; Leng AX and He Q collected clinical data and drafted the manuscript; Deng DW and Leng AX contributed equally to this manuscript and are co-first authors; He Q and Zhou CG contributed equally to this manuscript and are co-corresponding authors. All authors critically revised the manuscript and approved the final version.
Institutional review board statement: This study was approved by the Institutional Review Board of Beijing Chao-Yang Hospital, Capital Medical University (Approval No. 2024-6-24-2).
Informed consent statement: Given the retrospective nature of the analysis, the requirement for informed consent was waived.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The datasets generated or analyzed during this study are available from the corresponding author upon reasonable request.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (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: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qiang He, PhD, Chief Physician, Full Professor, Department of Hepatobiliary and Pancreaticosplenic Surgery, Beijing Chao-Yang Hospital, Capital Medical University, No. 8 South Gongren Tiyuchang Road, Chaoyang District, Beijing 100020, China. heqiang349@sina.com
Received: August 13, 2025
Revised: September 16, 2025
Accepted: November 5, 2025
Published online: December 27, 2025
Processing time: 134 Days and 10.1 Hours
Core Tip

Core Tip: This retrospective study is the first to establish and validate a nomogram for predicting six-month mortality in patients with delayed post-pancreatectomy hemorrhage treated with endovascular intervention. By retrospectively analyzing 88 cases, several independent prognostic factors were identified, including advanced age, prolonged operative time, shorter in-hospital days, intra-abdominal infection, coagulation abnormalities, and clinical failure. Notably, bleeding from the common hepatic artery was confirmed as an independent predictor of mortality. The proposed nomogram demonstrated good discrimination and clinical applicability, offering a practical tool for individualized risk stratification and management in high-risk post-pancreatectomy hemorrhage patients.