Letter to the Editor: Ascites in acute pancreatitis: Prognostic considerations

doi:10.4240/wjgs.v18.i5.116880

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Gastrointest Surg. May 27, 2026; 18(5): 116880
Published online May 27, 2026. doi: 10.4240/wjgs.v18.i5.116880

Letter to the Editor: Ascites in acute pancreatitis: Prognostic considerations

Enver Zerem, Šeila Vila, Sanja Bajgorić, Dina Zerem

Enver Zerem, Department of Medical Sciences, The Academy of Sciences and Arts of Bosnia and Herzegovina, Sarajevo 71000, Bosnia and Herzegovina

Šeila Vila, Sanja Bajgorić, Dina Zerem, Department of Health Studies, University Dzemal Bijedić Mostar, Mostar 88000, Bosnia and Herzegovina

Author contributions: Zerem E, Vila Š, Bajgorić S, and Zerem D contributed to the conception and design of the paper, writing the paper, and the final revision; All authors contributed equally to the writing of the manuscript.

Conflict-of-interest statement: All authors report no relevant conflicts of interest for this article.

Corresponding author: Enver Zerem, MD, Department of Medical Sciences, The Academy of Sciences and Arts of Bosnia and Herzegovina, Bistrik 7, Sarajevo 71000, Bosnia and Herzegovina. zerem@anubih.ba

Received: November 24, 2025
Revised: December 22, 2025
Accepted: February 10, 2026
Published online: May 27, 2026
Processing time: 185 Days and 14 Hours

Core Tip

Core Tip: Ascites in acute pancreatitis is a heterogeneous and dynamic clinical finding that may reflect the extent of pancreatic injury and the intensity of systemic inflammation. When detected early and interpreted cautiously, ascites can serve as a complementary prognostic signal that enhances bedside risk stratification without supplanting established scoring systems. Clear operational definitions and recognition of evidence limitations are essential to avoid over-interpretation.