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Gut Formatting Requirements: Complete Author Guide

Gut formatting guide. Word limits, figure specs, reference format, LaTeX vs Word, and journal-specific formatting quirks you need to know.

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Quick answer: Gut original research is limited to 4,000 words of main text and a structured abstract of up to 250 words (Background, Objective, Design, Results, Conclusion). Figures are not limited but must be thoroughly justified, and references are limited to those critical and relevant to the manuscript (around 50). The journal uses Vancouver reference style, is published by BMJ, and requires a one-slide visual abstract with original research submissions from 1 August 2026.

Submit in Word. BMJ does not accept PDF manuscripts.

Before working through the formatting details, a Gut formatting and readiness check flags the structural issues that cause desk rejection before editors even reach the formatting questions.

_Last reviewed: October 9, 2026._ This guide was last checked against the BMJ author guidelines as the publisher guideline version published in 2026. One structural note before the specifics: the BMJ shared, publisher-wide author style and submission format apply across its journals, so the structured-abstract discipline, the Patient and Public Involvement statement, the ScholarOne workflow, and the Vancouver references you learn for Gut carry over to other BMJ titles.

Where Gut differs from the journal-family BMJ norm (the key messages box and the visual abstract requirement), this guide flags it.

Word and page limits by article type

Gut is a BMJ (British Medical Journal) gastroenterology and hepatology journal. Its formatting follows BMJ conventions with adjustments for the GI research community. Word counts exclude the title page, abstract, tables, acknowledgements, contributions and references.

Article Type
Word Limit
Abstract
References
Tables/Illustrations
Original research
up to 4,000
structured, up to 250 words
limited to those critical and relevant (around 50)
figures not limited, but must be thoroughly justified
Leading article (commissioned only)
up to 2,000
unstructured, up to 250 words
up to 40
up to 1
Letter
up to 600
none listed
up to 10
up to 2
Recent advances (mostly commissioned)
4,000 to 5,000
unstructured, up to 250 words
30 to 90
5 or 6 figures, or clear simple diagrams
Living reviews (commissioned only)
4,000 to 5,000
unstructured, up to 250 words
30 to 90
5 or 6 figures, or clear simple diagrams
Endoscopy news
up to 1,300
Message section of up to 100 words
up to 15
up to 4
Research Letter
up to 1,000
none
none listed
maximum 1
Gut Forum
up to 1,000
none
up to 10
up to 2 tables or figures, or clear simple diagrams

Commentaries are commissioned only, and GI snapshots are two-part image articles of up to 200 words each with no more than 5 references. Research reviews that systematically synthesise evidence (systematic reviews, meta-analyses, scoping reviews and similar) are submitted as Original research, and the instructions ask you to include the research type in the title.

Gut sets no numeric cap on figures for original research. The instructions say figures are not limited but must be thoroughly justified, and that manuscripts should be as succinct as possible, so every display item should earn its place.

The 4,000-word limit for Original Research is standard for gastroenterology. For comparison, Gastroenterology (AGA) allows 4,000 words, and Hepatology sits around 5,000.

Research Letters report concise, high-quality original research of clear scientific merit and novelty, in up to 1,000 words with one table or figure, no abstract, and no section headings in the main text. Up to 1,000 additional words of methodological detail and up to two supplementary figures or tables may go in supplementary material.

Abstract requirements

Gut uses a structured abstract for original research with five headings.

  • Word limit: up to 250 words
  • Headings for Original Research:
  • Background
  • Objective
  • Design
  • Results
  • Conclusion
  • Citations: Not permitted (BMJ's formatting guidance says references should not be included in abstracts)
  • Trial registration: BMJ will not consider reports of clinical trials unless they were registered prospectively, before recruitment of any participants

Use the headings Gut lists rather than headings borrowed from another journal.

The "Design" section should name the study design explicitly: "Prospective cohort study," "Randomized double-blind placebo-controlled trial," "Retrospective case-control study," etc.

Write the Results section with specific numbers: "Patients receiving treatment A showed a 42% reduction in disease flare rate (HR 0.58, 95% CI 0.41-0.82, P=0.002) compared with placebo over 52 weeks." Make sure the numerical claims in the abstract match the main text.

Figure and table specifications

Gut does not cap figures for Original Research; the instructions say figures are not limited but must be thoroughly justified.

Figure specifications:

Parameter
Requirement
Maximum figures
No numeric cap; thoroughly justified (Original Research)
Upload
Figures as separate files, cited in the main text in numerical order, with legends
Resolution
300 dpi minimum for non-vector files (1200 dpi for line art)
File formats
TIFF, EPS, JPEG, or PDF
Multi-part figures
One composite file per figure

Color figures: BMJ offers colour publication online at no charge, but the figure legend must not refer to the use of colours. Authors can choose colour in the print edition instead of the default black and white for 510 GBP. Design your figures for color viewing, but ensure they're interpretable in grayscale as a fallback.

Table formatting: Tables should be in Word format and placed in the main text where the table is first cited, and cited in numerical order. Tables embedded as Excel files are not accepted. Tables should be self-explanatory, and the data they contain must not be duplicated in the text or figures. Any table longer than 2 pages is published as online-only supplementary material.

Supplementary figures and tables: Supplemental material is published online only, as supplied, and may or may not be peer-reviewed depending on the journal's editorial office. Cite it in the main text and upload it with the file designation "Supplementary File". Supplemental files may be PDF and should not exceed 350MB.

Endoscopy and histology images: For GI-specific figures, include scale bars on all histology images. For endoscopy images, note the scope type and magnification if relevant. High-resolution endoscopic images should be submitted at native resolution where possible.

Reference format

Gut uses the Vancouver reference style, which is standard for BMJ journals.

In-text citations: Numbers assigned in order of first appearance, presented as superscripts or in square brackets (e.g., [6]). Multiple references separated by commas (e.g., [6, 9, 12]), sequential numbers joined with a hyphen (e.g., [12-15]).

Reference list format. Compare the Gut Vancouver format against the APA habit authors carry over from other journals:

Correct (Gut Vancouver; no periods between initials, abbreviated journal name, truncated page range):
1. Smith JA, Johnson BC, Williams DE. Title of article in sentence case. *Gut* 2025;**74**:123-8.
Wrong (APA habit: surname-comma-initials, parenthetical year, full page range):
Smith, J. A., Johnson, B. C., & Williams, D. E. (2025). Title of article in sentence case. Gut, 74, 123-128.

Key formatting details:

  • Author names: Last name followed by initials, no periods between initials
  • List the first 3 authors, then "et al." for papers with 4+ authors
  • No comma between journal name and year
  • Year followed immediately by semicolon and volume number
  • Page ranges truncated (e.g., 123-8 not 123-128)
  • Journal names abbreviated, as in BMJ's examples (for example Inj Prev)
  • Include the DOI or PubMed ID, as BMJ's formatting guidance asks

The instructions limit references for Original Research to those critical and relevant to the manuscript (around 50).

One Vancouver-specific detail that catches authors: in the reference list, there are no periods after author initials. Write "Smith JA" not "Smith J.A."

Supplementary material guidelines

Gut's online supplementary material is hosted alongside the article on the BMJ website.

What goes in the online supplement:

  • Additional figures, tables, and datasets that exceed the main article limits
  • Extended methods descriptions
  • Sensitivity analyses and subgroup analyses
  • CONSORT diagrams or PRISMA flow charts (often in the supplement if not in the main text)
  • Videos (endoscopy footage, surgical procedures)
  • Patient-level data summaries

Formatting rules:

  • Reference each supplementary item in the main text
  • Provide titles and legends for all supplementary figures and tables
  • Video files are preferred in .WMF or .AVI format, and can also be supplied as .FLV, .Mov, or .MP4, uploaded with the file designation "Supplementary File - Video"
  • Supplemental material may or may not be peer-reviewed, and it is published as supplied, without checking, copyediting or proofing
  • The reporting checklist is uploaded as a separate file titled "Research Checklist", not as supplementary material

Data sharing: Gut follows BMJ's Tier 3 data policy. All research articles must contain a Data Availability Statement, and the journal strongly encourages that the data behind your article be made available as soon as possible, wherever legally and ethically possible. The statement should specify what data are available and how to access them.

BMJ's data sharing policy points to recognised repositories such as Dryad, OSF, Figshare, Zenodo and Science Data Bank for general data, subject-specific repositories such as GenBank for pre-clinical data, and controlled-access repositories for clinical participant data.

LaTeX vs Word

BMJ requires the manuscript as a Word document, and PDF is not accepted.

  • Submission: Word document. PDF is not accepted, so a LaTeX-generated PDF cannot be the submitted manuscript.
  • Tables: Word tables placed in the main text. Tables embedded as Excel files are not accepted.
  • Equations: use Word's equation editor or MathType. Gut papers rarely contain heavy mathematical content, so this is seldom a problem.

If you write in LaTeX and want to submit to Gut, you'll need to convert to Word. If you are starting in LaTeX, the Overleaf academic-journal template gallery with a Vancouver bibliography style is a reasonable base, but plan to export to Word: Pandoc handles the conversion reasonably well for text-heavy manuscripts. Run pandoc input.tex -o output.docx and then clean up the formatting manually. Budget 1-2 hours for cleanup.

For the vast majority of Gut submissions, which are clinical studies, observational cohorts, or translational research, Word is the natural choice. The GI research community is overwhelmingly Word-based.

Cover page requirements

Gut's instructions refer to a title page (word counts exclude it). BMJ takes author names, institutions and addresses from the fields you complete in the submission system, not from the submitted Word document.

What to include on the title page and in the submission:

  • A title that includes the research type (the instructions ask you to include the research type in your title)
  • All author names, with an up-to-date name, email address and institutional affiliation for each contributing author entered in the submission system
  • Corresponding author contact details
  • Keywords, using MeSH descriptors where possible (BMJ asks authors to use MeSH descriptors as keywords)

Separate declarations (in the manuscript or submission system):

  • Competing interests statement
  • Funding statement
  • Ethics approval statement with committee name and approval number
  • Patient and public involvement statement (BMJ-specific requirement)
  • Contributorship statement (who did what in planning, conducting and reporting the work)

Patient and public involvement (PPI) statement: Gut requires authors of Research Articles to add a Patient and Public Involvement statement in the Methods section, under the subheading "Patient and public involvement". You must describe whether patients or members of the public were involved in the design, conduct, reporting, or dissemination of the research. If they weren't involved, say so explicitly: "Patients or the public were not involved in the design, conduct, reporting, or dissemination plans of this research."

This PPI requirement surprises authors who are used to other publishers. It's not a formality: if the statement is missing from the submitted manuscript, the journal will ask you to provide it.

How Gut formatting compares to other top medical journals

If you are weighing Gut against another high-impact medical venue, the formatting conventions diverge in ways that change how much reformatting each option costs. Verify each against the journal's live author pages before submission.

Requirement
Gut
Lancet
BMJ
JAMA
Word count
4,000 (Original Research)
~3,500 (Article)
~3,000-4,000 (Research)
~3,000 (Original)
Abstract
250 words, structured (Background/Objective/Design/Results/Conclusion)
~300 words, structured
~400 words, structured
~350 words, structured
Reference style
Vancouver, superscript or square brackets, no initial periods
Vancouver
Vancouver
AMA
Figure policy
Figures not limited, but thoroughly justified
Per Lancet display specs
BMJ display specs
AMA display specs
Required boxes
Key messages box + PPI statement + visual abstract
Research-in-context panel
"What this study adds" box + PPI
Key Points box

The most Gut-specific lines are the abstract headings (Background, Objective, Design, Results, Conclusion), the key messages box after the abstract, and the one-slide visual abstract required with original research from 1 August 2026.

Common Mistakes That Auto-Formatters Miss

A reference manager handles only the Vancouver references. EndNote and Zotero will not supply the structured abstract headings, the key messages box, the visual abstract, or the Patient and Public Involvement statement, and they will silently let an over-limit abstract or a non-standard heading through. Gut has several formatting and editorial conventions specific to BMJ gastroenterology publishing that no citation tool catches.

1. Use Gut's abstract headings. Gut lists Background, Objective, Design, Results and Conclusion, in up to 250 words. Use those names rather than headings borrowed from another journal.

2. The key messages box. After the abstract, include the key messages of your article under three headings: "What is already known on this topic", "What this study adds", and "How this study might affect research, practice or policy". Keep the section to no more than 3-5 sentences, distinct from the abstract. It is published as a summary box after the abstract in the final article.

3. CONSORT, STROBE, and PRISMA compliance. BMJ asks that all research articles be written in accordance with the relevant reporting guideline. Randomized trials follow CONSORT, observational studies STROBE, and systematic reviews PRISMA. The reporting guideline is submitted with the article as part of the file upload, in a file titled "Research Checklist" that lists on which page of your article each checklist item appears.

4. Open access options follow BMJ policy. Gut offers both subscription and open access publication. For open access, the APC (article processing charge) is 4,500 GBP, exclusive of VAT for UK and EU authors. Gut states that it complies with funder mandates, including Plan S.

5. Ethics and consent documentation. BMJ requires every research article to include a statement that the study obtained ethics approval (or a statement that it was not required and why), including the name of the ethics committee or institutional review board, the approval number or ID, and a statement that participants gave informed consent. For any article that contains personal medical information about an identifiable living individual, BMJ requires the patient to sign its consent form.

6. Report statistics at clinical grade. Report confidence intervals for all primary outcomes, not just P-values, and report effect sizes (hazard ratios, odds ratios, risk differences as appropriate). For clinical trials, report the intention-to-treat analysis. If per-protocol results are presented, show both ITT and per-protocol results.

Preparing your submission: a practical checklist

Before uploading to ScholarOne, confirm each item:

Item
Requirement
Word count
Up to 4,000 words (Original Research)
Abstract
Structured with Gut's headings (Background, Objective, Design, Results, Conclusion), up to 250 words
Key messages box
"What is already known on this topic," "What this study adds," and "How this study might affect research, practice or policy" completed, in no more than 3-5 sentences
Visual abstract
One PowerPoint slide with original research submissions (required from 1 August 2026)
Display items
Figures not limited but thoroughly justified; tables in Word in the main text
References
Vancouver style, first 3 authors + et al., limited to those critical and relevant (around 50)
Title and keywords
Research type included in the title; MeSH keywords; PPI statement in the Methods
Reporting checklist
CONSORT, STROBE, or PRISMA uploaded as a "Research Checklist" file, as applicable
Ethics statement
Committee name, approval number, and informed consent statement
Tables
Editable Word tables placed where first cited
Figures
300+ dpi (1200 for line art), separate files, color figures designed for online viewing

How Manusights can help

Gut's formatting requirements are demanding because of the BMJ framework layered on top of gastroenterology-specific expectations. The structured abstract with its heading requirements, the key messages box, the PPI statement, and the reporting checklist mandates all create opportunities for desk rejection if missed.

Gut pre-submission checklist checks your formatting against Gut's requirements, including abstract structure, word limits, reference style, and the presence of required declaration statements. It catches the formatting issues that are easy to overlook when you're focused on your clinical data.

For related journals, explore our collection of journal submission guides. If you're deciding between Gut and other gastroenterology venues, understanding the formatting differences before you start writing saves significant revision time.

What Pre-Submission Reviews Reveal About Gut Submissions

For manuscripts targeting Gut, four patterns generate the most consistent desk-rejection outcomes.

Abstract exceeds the Gut word limit or uses wrong structured headings. Gut uses structured abstracts with a 250-word limit and the headings Background, Objective, Design, Results, and Conclusion. Papers using another journal's headings (for example Methods) or exceeding the word limit can be sent back for correction during the pre-review quality checks. The structured format applies to original research.

Significance statement for GI or liver biology not translated to clinical implication. Gut publishes at the interface of gastrointestinal science and clinical practice. Papers that present mechanistic or basic science findings without articulating the clinical implication for gastroenterology, hepatology, or IBD management are desk-rejected unless the mechanistic advance is truly exceptional. The journal describes its coverage as clinically oriented.

Reporting checklist absent for trial or observational design. BMJ asks that research articles follow the relevant reporting guideline, for example CONSORT for randomized trials, STROBE for observational studies, and PRISMA for systematic reviews. The checklist is submitted as a file titled "Research Checklist" that lists the page on which each item appears. A missing checklist can hold up the pre-review quality checks in ScholarOne Manuscripts.

Microbiome data lacks sequencing-depth controls and compositional analysis. For microbiome papers, reviewers in this area commonly look for rarefaction curves showing adequate sequencing depth, alpha- and beta-diversity analysis, compositional-aware analysis (e.g., ANCOM, ALDEx2) rather than naive fold-change, and delineation of the exact sequencing platform and primers used.

Across these four patterns, the common thread in our review work is that the gastroenterology science is usually strong but a BMJ-specific convention is missing. The abstract uses the wrong structured headings, the significance box never translates the mechanism into a clinical implication, the reporting checklist is absent, or the microbiome methods and statistics fall short of the compositional standard.

Each is a formatting-and-rigor convention that is fixable in the manuscript before submission rather than discovered as an administrative return through ScholarOne.

A Gut submission readiness check evaluates manuscript scope, BMJ abstract format, and microbiome reporting standards against these desk-rejection patterns.

Readiness check

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Submit If / Think Twice If

Submit if:

  • Your abstract uses Gut's structured headings within 250 words
  • Your mechanistic findings include a clear clinical implication for GI or liver disease
  • The appropriate reporting checklist (CONSORT, STROBE, PRISMA) is included with page numbers
  • Microbiome data includes rarefaction curves, compositional analysis, and sequencing details

Think twice if:

  • Your abstract uses another journal's headings (for example Methods) or exceeds 250 words
  • Your study is basic mechanistic science without a clinical translation statement
  • A required reporting checklist is missing from the submission package
  • Your microbiome analysis uses naive fold-change without compositional correction

For a manuscript-specific signal before you submit, run a Gut submission readiness check.

Or see example reports before you finalize.

Frequently asked questions

Gut original research is limited to 4,000 words. The count excludes the title page, abstract, tables, acknowledgements, contributions and references. The structured abstract is limited to 250 words.

Yes. Gut requires a structured abstract of up to 250 words for original research, with the headings Background, Objective, Design, Results and Conclusion.

Gut does not cap figures for original research: the instructions say figures are not limited but must be thoroughly justified. References are limited to those critical and relevant to the manuscript (around 50). Tables should sit in the main Word document, and tables longer than 2 pages are published as online supplementary material.

Gut uses the BMJ reference style, which is Vancouver. References are numbered sequentially in the order they appear in the text and cited as superscripts or numbers in square brackets. The reference list lists the first three authors followed by et al. for papers with more than three authors, and each reference should include the DOI or PubMed ID.

BMJ's formatting guidance requires the manuscript as a Word document and does not accept PDF, so a LaTeX-generated PDF cannot be the submitted manuscript. Authors using LaTeX should plan to convert to Word before submitting.

References

Sources

  1. Gut - Author Guidelines
  2. Gut - Journal Homepage
  3. Clarivate Journal Citation Reports (2026 release for the 2025 Journal Impact Factor)
  4. SciRev - Gut
  5. Clarivate Journal Citation Reports (2026 release for the 2025 Journal Impact Factor)

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