Review for 10.1186/s12876-019-1059-0 (2019)

Reviewer ’s report  
 
Title: Decompressive laparotomy for abdominal compartment  syndrome resulting from severe 
acute pancreatitis: A case report  
 
Version: 0 Date: 18 Jun 2019  
 
Reviewer: Wu Hsing -Chien  
 
Reviewer's report:  
 
1. What is the indication to launch an emergent ERCP (within 72 hours) for acute biliary 
pancreatitis? In Page 3, Line 20 -23, it will be better to mention the total bilirubin level, ALT, 
AST, Alkaline -P and ᵞGT on day 1 or day 2 to justify the indication of emergent ERCP and 
endoscopic sphincterotomy. Early ERCP is not better than elective ERCP for acute biliary 
pancreatitis unless there is evidence of cholangit is[1].  
 
2. What is the evidence level to suggest early decompressive laparotomy? There was no 
randomized trial for abdominal compartment syndrome regarding early surgical 
decompression compared to conservative management or step -up strategy. It should be 
careful to recommend "early" surgical laparotomy, although it is a reasonable option with 50 -
60% of survival rate. In Page 6, Line 12 -14, it should be careful to suggest early laparotomy 
before adequate conservative treatment including renal replacement th erapy with ultra -
filtration, fluid drainage by radiologist, and correction of hypoalbuminemia for hemodynamic 
instability, etc., especially in the era of step -up intervention for severe acute pancreatitis.  
 
3. In Page 6, Line 14 -15, the part underlined in the sentence "In our case, early surgical 
decompression (four days after being diagnosed with ACS) was considered to be the most 
important factor in saving the patient of the patient." should be trimmed.  
 
Are the methods appropriate and well described?  
If not, please specify what is required in your comments to the authors.  
 
Yes 
 
Does the work include the necessary controls?  
If not, please specify whic h controls are required in your comments to the authors.  
 
No 
 
Are the conclusions drawn adequately supported by the data shown?  
If not, please explain in your comments to the authors.  
 
Yes 
 
Are you able to assess any statistics in the manuscript or would you r ecommend an 
additional statistical review?  
If an additional statistical review is recommended, please speci fy what aspects require further 
assessment in your comments to the editors.  
 
I am able to assess the statistics  
 
Quality of written English  
Please indi cate the quality of language in the manuscript:  
 
Needs some language corrections before being published  
 
Declaration of competing interests  
Please complete a declaration of competing interests, considering the following questions:  
1. Have you in the past five years received reimbursements, f ees, funding, or salary from an 
organisation that may in any way gain or lose financial ly from the publication of this 
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2. Do you hold any stocks or shares  in an organisation t hat may in any way gain or lose 
financially from the publication of this manuscript, either now or in the future?  
 
3. Do you hold or are you currently applying for any patents  relating to the content of the 
manuscript?  
 
4. Have you recei ved reimbursements, fees, funding, or salary from an organization that holds 
or has applied for patents relating to the content of the manuscript?  
 
5. Do you have any other financial competing interests?  
 
6. Do you have any non -financial competing interests in relation to this paper?  
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below. If your reply is yes to any, please give details below.  
 
I declare that i have no competing interests  
 
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