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: Chi- Chih Wang  
 
Reviewer's report:  
 
This is a rare condition of severe gallstone pancreatitis with extensive pancreatic necrosis after 
therapeutic ERCP. Although this case was successfully treated by decompressive laparotomy 
after acute abdominal compartment syndrome diagnosed, my suggestions are listed as below.  
 
1. The initial lab data of lipase, Alkaline phosphatase, γ -Glutamyl transpeptidase and T/D 
bilirubin level are important to the di agnosis of acute biliary pancreatitis (or so called 
gallstone pancreatitis), but these lab data didn't describe by the authors. I think these lab 
data should be added.  
2. The description gallstone removal should be revised as common bile duct stone at pag e 4, 
line 7 -8 
3. The yellow circle is not needed and it masked the real stone on Panel C, figure 1  
4. I wondering the indication of ERPD in this case and some references showed relationship 
about pancreatitis progression after ERPD insertion. Panel c & d i n figure 2 is not 
needed.  
5. It should be impressive if there are some pictures of the real condition after 
decompressive laparotomy of this patient in Figure 4 and I think it is necessary in this 
case report.  
6. There are new important references (such a s World J Surg. 2016 Jun;40(6):1454 -61 ) in 
this topic and the authors can used them to replace some of the old references.  
7. We need better picture quality in Figure 5  
 
Are the methods appropriate and well described?  
If not, please specify what is required in your comments to the authors.  
 
Unable to assess  
 
Does the work include the necessary controls?  
If not, please specify whic h controls are required in your comments to the authors.  
 
Unable to assess  
 
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.  
 
Not relevant to this manuscript  
 
Quality of written English  
Please indi cate the quality of language in the manuscript:  
 
Acceptable  
 
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 
manuscript, either now or in the future?  
 
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?  
If you can answer no to all of the above, write 'I declare that I have  no competing interests' 
below. If your reply is yes to any, please give details below.  
 
I declare that i have no competing interests  
 
I agree to the open peer review policy of the journal. I understan d that my name will be included 
on my report to the authors and, if the manuscript is accepted f or publication, my named report 
including any attachments I upload will be posted on the website along with the authors ' 
responses. I agree for my report to be made available under an Open Access Creative Commons 
CC-BY license ( http://creativecommons.org/licenses/by/4.0/ ). I understand that any comments 
which I do not wish to be included in my named report can be included as confidential comments 
to the editors, which will not be published.  
 
I agree to the open peer review policy of the journal  
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: Chi- Chih Wang  
 
Reviewer's report:  
 
This is a rare condition of severe gallstone pancreatitis with extensive pancreatic necrosis after 
therapeutic ERCP. Although this case was successfully treated by decompressive laparotomy 
after acute abdominal compartment syndrome diagnosed, my suggestions are listed as below.  
 
1. The initial lab data of lipase, Alkaline phosphatase, γ -Glutamyl transpeptidase and T/D 
bilirubin level are important to the di agnosis of acute biliary pancreatitis (or so called 
gallstone pancreatitis), but these lab data didn't describe by the authors. I think these lab 
data should be added.  
2. The description gallstone removal should be revised as common bile duct stone at pag e 4, 
line 7 -8 
3. The yellow circle is not needed and it masked the real stone on Panel C, figure 1  
4. I wondering the indication of ERPD in this case and some references showed relationship 
about pancreatitis progression after ERPD insertion. Panel c & d i n figure 2 is not 
needed.  
5. It should be impressive if there are some pictures of the real condition after 
decompressive laparotomy of this patient in Figure 4 and I think it is necessary in this 
case report.  
6. There are new important references (such a s World J Surg. 2016 Jun;40(6):1454 -61 ) in 
this topic and the authors can used them to replace some of the old references.  
7. We need better picture quality in Figure 5  
 
Are the methods appropriate and well described?  
If not, please specify what is required in your comments to the authors.  
 
Unable to assess  
 
Does the work include the necessary controls?  
If not, please specify whic h controls are required in your comments to the authors.  
 
Unable to assess  
 
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.  
 
Not relevant to this manuscript  
 
Quality of written English  
Please indi cate the quality of language in the manuscript:  
 
Acceptable  
 
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 
manuscript, either now or in the future?  
 
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?  
If you can answer no to all of the above, write 'I declare that I have  no competing interests' 
below. If your reply is yes to any, please give details below.  
 
I declare that i have no competing interests  
 
I agree to the open peer review policy of the journal. I understan d that my name will be included 
on my report to the authors and, if the manuscript is accepted f or publication, my named report 
including any attachments I upload will be posted on the website along with the authors ' 
responses. I agree for my report to be made available under an Open Access Creative Commons 
CC-BY license ( http://creativecommons.org/licenses/by/4.0/ ). I understand that any comments 
which I do not wish to be included in my named report can be included as confidential comments 
to the editors, which will not be published.  
 
I agree to the open peer review policy of the journal  
Please review this paper.
user
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: Chi- Chih Wang  
 
Reviewer's report:  
 
This is a rare condition of severe gallstone pancreatitis with extensive pancreatic necrosis after 
therapeutic ERCP. Although this case was successfully treated by decompressive laparotomy 
after acute abdominal compartment syndrome diagnosed, my suggestions are listed as below.  
 
1. The initial lab data of lipase, Alkaline phosphatase, γ -Glutamyl transpeptidase and T/D 
bilirubin level are important to the di agnosis of acute biliary pancreatitis (or so called 
gallstone pancreatitis), but these lab data didn't describe by the authors. I think these lab 
data should be added.  
2. The description gallstone removal should be revised as common bile duct stone at pag e 4, 
line 7 -8 
3. The yellow circle is not needed and it masked the real stone on Panel C, figure 1  
4. I wondering the indication of ERPD in this case and some references showed relationship 
about pancreatitis progression after ERPD insertion. Panel c & d i n figure 2 is not 
needed.  
5. It should be impressive if there are some pictures of the real condition after 
decompressive laparotomy of this patient in Figure 4 and I think it is necessary in this 
case report.  
6. There are new important references (such a s World J Surg. 2016 Jun;40(6):1454 -61 ) in 
this topic and the authors can used them to replace some of the old references.  
7. We need better picture quality in Figure 5  
 
Are the methods appropriate and well described?  
If not, please specify what is required in your comments to the authors.  
 
Unable to assess  
 
Does the work include the necessary controls?  
If not, please specify whic h controls are required in your comments to the authors.  
 
Unable to assess  
 
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.  
 
Not relevant to this manuscript  
 
Quality of written English  
Please indi cate the quality of language in the manuscript:  
 
Acceptable  
 
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 
manuscript, either now or in the future?  
 
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?  
If you can answer no to all of the above, write 'I declare that I have  no competing interests' 
below. If your reply is yes to any, please give details below.  
 
I declare that i have no competing interests  
 
I agree to the open peer review policy of the journal. I understan d that my name will be included 
on my report to the authors and, if the manuscript is accepted f or publication, my named report 
including any attachments I upload will be posted on the website along with the authors ' 
responses. I agree for my report to be made available under an Open Access Creative Commons 
CC-BY license ( http://creativecommons.org/licenses/by/4.0/ ). I understand that any comments 
which I do not wish to be included in my named report can be included as confidential comments 
to the editors, which will not be published.  
 
I agree to the open peer review policy of the journal  
assistant