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For an unbounded polyhedron, it is possible that the smallest integer point is much farther out than any rational vertex; how much farther depends (informally speaking) on how wide an angle the polyhedron (polyhedral cone?) covers. So this is where the rays enter the picture… (I'm not surprised that needs a ton of machinery to work through.) And having some solution matters. $1 \leqslant 3x_1 - 3x_2 \leqslant 2$ where $x_1,x_2 \geqslant 0$ is rationally feasible, but lacks integer solutions.
Elaborating on the rough sketch of proof: Any vertex on the polyhedron of rational solutions to the LP relaxation of the ILP is the solution to a linear equation system with coefficients from the ILP, so it can be expressed exactly using Cramer's rule, and we can bound the number of bits in the numerator and denominator: both are polynomial in the size of the ILP. Hence the same holds for the coordinates of the bounding box of the vertices; if the polyhedron is bounded, we're done. If the polyhedron is unbounded, things get trickier. (Continued)
@Nathaniel The difference between $AX=B$ and $AX \leqslant B$ here is just one of the standard reformulations of a linear program. Instead of $AX \leqslant B$ where $X \geqslant 0$, you add slack variables to write the system as $AX + S = B$, where $X,S \geqslant 0$. I was a bit surprised by Papadimitriou's claim that "it is natural to assume $m \leqslant n$", but that is because every equation comes with a slack variable, so his $n$ is $n+m$ from an $AX \leqslant B$ formulation.