World Journal of Gastrointestinal Surgery最新文献

{"title":"Modified fistulotomy with internal orifice distalization for optimized perianal fistula management: Pressure zone transition.","authors":"İsmail Cem Eray, Burak Yavuz, Ishak Aydin, Serdar Gumus, Ugur Topal, Kubilay Dalci","doi":"10.4240/wjgs.v17.i6.106531","DOIUrl":"10.4240/wjgs.v17.i6.106531","url":null,"abstract":"<p><strong>Background: </strong>Both the etiology and treatment of perianal fistulas present challenges, and there is no standard surgical approach.</p><p><strong>Aim: </strong>To present the results of a modified fistulotomy technique that was implemented in a tertiary coloproctology reference center.</p><p><strong>Methods: </strong>Seventy-two patients who underwent surgical intervention for perianal fistula between August 2019 and January 2023 were treated using a modified fistulotomy technique. In this approach, the fistula tract was excised from the external opening up to the external sphincter fibers. The internal orifice was widened, and the septic focus within the inter sphincteric space was curetted. Partial internal sphincterotomy was performed up to the inter sphincteric plane. The anoderm from the internal orifice to the inter sphincteric space was closed with absorbable suture material, and a loose seton was placed at the level of the external sphincter.</p><p><strong>Results: </strong>The 72 patients who underwent modified fistulotomy were 77.8% male and 22.2% female, with a mean age of 42.2 ± 11.5 years. The median follow-up period was 19 months. Preoperatively, 93.1% of patients had high trans sphincteric fistulas, and 6.9% were females with anterior low trans sphincteric fistulas. In all cases, setons were placed during surgery using vascular tape. A total of 12.5% of patients experienced incontinence, involving gas (6.9%) or soiling (5.6%). There were no reports of solid or liquid incontinences. Complete healing was achieved in 83.3% of the patients, with a recurrence rate of 4.2% and a non-healing rate of 12.5%.</p><p><strong>Conclusion: </strong>Our preliminary analysis suggests that this modified fistulotomy technique that targets distalization of the internal orifice is a promising alternative management strategy for perianal fistulas.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 6","pages":"106531"},"PeriodicalIF":1.8,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188595/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of life and outcomes in patients undergoing endoscopic papillectomy <i>vs</i> surgical treatment for duodenal papillary adenomas.","authors":"Feng-Lan Wang, Xiao-Xuan Tang, Rui Wu, Yu-Jia Gao, Yi-Ran Liu, Lei Wang, Xiao-Ping Zou, Bin Zhang","doi":"10.4240/wjgs.v17.i6.106637","DOIUrl":"10.4240/wjgs.v17.i6.106637","url":null,"abstract":"<p><strong>Background: </strong>Endoscopic papillectomy (EP) <i>via</i> endoscopic retrograde cholangiopancreatography has emerged as a less invasive alternative to surgery for duodenal papillary adenomas (DPAs), which is traditionally associated with notable postoperative risks.</p><p><strong>Aim: </strong>To compare quality of life (QoL) and outcomes between DPA patients undergoing EP <i>vs</i> surgical resection, and to assess the influencing factors of QoL and complications.</p><p><strong>Methods: </strong>We conducted a retrospective, single-center analysis involving patients treated for DPA at the Drum Tower Hospital of Nanjing University Medical School from 2011 to 2023. The participants completed post-discharge telephone surveys using the 12-item short form survey to assess mental (MCS) and physical component summary (PCS) scores, with norm-based scoring where ≥ 50 denotes normal. Multivariate regression analysis adjusted for confounding variables was used to compare QoL scores.</p><p><strong>Results: </strong>Compared with EP patients, surgically treated patients had significantly lower PCS [median: 53.0, interquartile range (IQR): 46.0-55.1 <i>vs</i> 54.2, IQR: 51.7-55.9, <i>P</i> = 0.008] and MCS scores (median: 48.6, IQR: 41.8-56.0 <i>vs</i> 55.9, IQR: 51.7-60.7, <i>P</i> < 0.001). These disparities persisted even after adjustments for demographic and medical factors. Long-term follow-up of the EP group revealed that abdominal pain and poor sleep were factors negatively impacting PCS scores, whereas postoperative pancreatitis and hypertension were associated with lower MCS scores.</p><p><strong>Conclusion: </strong>EP has emerged as a QoL-preserving alternative for patients with DPA, conditional upon ensuring equivalent efficacy and safety. QoL outcomes should be considered when choosing interventions for this patient population.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 6","pages":"106637"},"PeriodicalIF":1.8,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simultaneous combined surgery for hepatic-renal double organ alveolar or cystic echinococcosis: A retrospective study.","authors":"Alimu Tulahong, Da-Long Zhu, Chang Liu, Tie-Min Jiang, Rui-Qing Zhang, Talaiti Tuergan, Tuerganaili Aji, Ying-Mei Shao","doi":"10.4240/wjgs.v17.i6.105007","DOIUrl":"10.4240/wjgs.v17.i6.105007","url":null,"abstract":"<p><strong>Background: </strong>Alveolar and cystic echinococcoses are lethal zoonotic diseases caused by <i>Echinococcus multilocularis</i> and <i>Echinococcus granulosus</i> infections, leading to alveolar echinococcosis (AE) or cystic echinococcosis (CE), respectively. No study has hitherto reported effective treatment approaches for AE or CE with concurrent hepatorenal involvement.</p><p><strong>Aim: </strong>To investigate the feasibility and efficacy of simultaneous combined surgery (SCS) as a comprehensive treatment approach for patients with hepatorenal echinococcosis.</p><p><strong>Methods: </strong>Clinical datasets of hepatorenal AE (<i>n</i> = 10) and CE (<i>n</i> = 11) patients were retrospectively collected and systematically analyzed. The SCS approach was introduced, and surgical outcomes, complications, and prognoses were documented in detail.</p><p><strong>Results: </strong>The SCS approach incorporated hybridized techniques, including partial hepatectomy, partial or total nephrectomy, <i>ex vivo</i> liver resection and autotransplantation, and total or subtotal cystectomy with endocystectomy. Radical SCS was achieved in 100% of AE patients and 63.6% of CE patients. All surgeries were completed without intraoperative complications. The short-term complication rate was 28.6% (Clavien-Dindo classification: AE-1 IIIb, 3 IIIa; CE-2 II), while the long-term complication rate was 4.8% (Clavien-Dindo classification: AE-1 IIIb). Patients were followed up for a median of 37 months (AE: 6-81 months; CE: 34-123 months), with no reported deaths or disease relapses.</p><p><strong>Conclusion: </strong>CS appears to be a feasible and effective treatment method for patients with hepatorenal involvement of AE or CE. It fulfills the management criteria for advanced AE or CE cases, aiming to maximize patient benefits.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 6","pages":"105007"},"PeriodicalIF":1.8,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of double-tract reconstruction and laparoscopic proximal gastrectomy on immune function and stress.","authors":"Ti-Hong Qiu, Hong-You Wen, Ming-Ming Chen","doi":"10.4240/wjgs.v17.i6.104192","DOIUrl":"10.4240/wjgs.v17.i6.104192","url":null,"abstract":"<p><strong>Background: </strong>Although surgery remains the primary treatment for proximal gastric cancer (PGC), ongoing refinements in surgical strategies are essential to improving clinical outcomes.</p><p><strong>Aim: </strong>To investigate the effect of double-tract reconstruction (DTR) on immune function and stress response in patients undergoing laparoscopic proximal gastrectomy (LPG).</p><p><strong>Methods: </strong>In total, 78 patients with PGC admitted between August 2020 and August 2024 were enrolled. The research group consisted of 39 patients who underwent DTR + LPG, whereas the control group comprised 39 patients who underwent laparoscopic total gastrectomy with Roux-en-Y esophagojejunostomy. Perioperative indices (intraoperative blood loss, digestive tract anastomosis time, and time to first postoperative flatus), postoperative complications (intestinal obstruction, anastomotic ulcer, diarrhea, dumping syndrome, and gastroesophageal reflux), nutritional parameters (serum albumin, hemoglobin, and body mass index), immune function [immunoglobulin (Ig) G, IgA, and IgM), and stress response indicators (C-reactive protein, interleukin-6, and tumor necrosis factor-α) were collected and analyzed for both groups.</p><p><strong>Results: </strong>The intraoperative blood loss was lower (<i>P</i> < 0.05), and the time to first postoperative flatus time was shorter (<i>P</i> < 0.001) in the research group than in the control group. The two groups had comparable digestive tract anastomosis time (<i>P</i> > 0.05). The overall complication rate was significantly lower in the research group than in the control group (<i>P</i> = 0.042). Compared with the control group, the research group exhibited notably higher albumin, hemoglobin, and body mass index levels at 2 and 3 months postoperatively, as well as considerably high immunoglobulin (Ig) G, IgA, and IgM levels on postoperative day 1 (<i>P</i> < 0.05). The postoperative levels of C-reactive protein, interleukin-6, and tumor necrosis factor-α were also lower in the research group than in the control group (<i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>The combination of DTR and LPG in the treatment of patients with PGC is more effective in enhancing immune function and suppressing stress responses, showing more advantages over laparoscopic total gastrectomy.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 6","pages":"104192"},"PeriodicalIF":1.8,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of enhanced bowel preparation on complications and prognosis following colonoscopic polypectomy.","authors":"Yan-Ping Ma, Xue-Yong Zheng, Xin-Feng Shen, Yi-Ting Ling, Mei-Ping Qian, Min-Jun Ni","doi":"10.4240/wjgs.v17.i6.106264","DOIUrl":"10.4240/wjgs.v17.i6.106264","url":null,"abstract":"<p><strong>Background: </strong>Colonoscopic polypectomy is a crucial procedure for the prevention and treatment of colorectal cancer, with its success and safety largely dependent on the quality of bowel preparation. Currently, polyethylene glycol electrolyte solution remains the standard method for bowel preparation, but its use may cause patient discomfort and incomplete cleansing.</p><p><strong>Aim: </strong>To evaluate impact of enhanced and conventional bowel preparation protocols on the outcomes of colonoscopic polypectomy.</p><p><strong>Methods: </strong>This retrospective cohort study collected data from 130 patients who underwent colonoscopic polypectomy between March 2023 and June 2024. Patients were divided into the conventional bowel preparation group (<i>n</i> = 65) and enhanced bowel preparation group (<i>n</i> = 65). Primary outcome measures included Boston Bowel Preparation Scale (BBPS) scores, procedure-related parameters, complication rates, and prognosis. Statistical analysis was performed using SPSS version 25.0, with <i>P</i> < 0.05 indicating statistical significance.</p><p><strong>Results: </strong>The enhanced group demonstrated significant advantages over the conventional group, with higher BBPS total scores (4.2 ± 0.7 <i>vs</i> 3.1 ± 0.8, <i>P</i> < 0.001), higher one-time complete resection rates (95.4% <i>vs</i> 83.1%, <i>P</i> = 0.01), shorter operative times (23.1 ± 4.8 <i>vs</i> 25.4 ± 5.2 min, <i>P</i> = 0.03), and lesser intraoperative blood loss (18.2 ± 4.5 <i>vs</i> 20.3 ± 5.1 mL, <i>P</i> = 0.04). Total complication rates were significantly lower (5.9% <i>vs</i> 16.9%, <i>P</i> = 0.05), particularly for bleeding (1.5% <i>vs</i> 16.9%, <i>P</i> = 0.01) and infection (1.5% <i>vs</i> 7.7%, <i>P</i> = 0.04). The enhanced group also showed lower 6-month recurrence rates (3.1% <i>vs</i> 10.8%, <i>P</i> = 0.05) and higher patient satisfaction (87.7% <i>vs</i> 76.9%, <i>P</i> = 0.04) than did the conventional group.</p><p><strong>Conclusion: </strong>The enhanced bowel preparation protocol demonstrates significant advantages, particularly in improving surgical outcomes, reducing complications, and increasing patient satisfaction, underscoring its importance of its application during colonoscopic polypectomy.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 6","pages":"106264"},"PeriodicalIF":1.8,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systemic complications and management strategies in liver cancer patients undergoing interventional therapy.","authors":"Yue-Zhan Shan, Yan Jiao, Hui-Ling Guo, Ya-Hui Liu","doi":"10.4240/wjgs.v17.i6.104883","DOIUrl":"10.4240/wjgs.v17.i6.104883","url":null,"abstract":"<p><p>Liver cancer presents unique challenges due to its systemic impact and complex treatment modalities. Patients often experience a range of complications, including cardiovascular, renal, hematological, and metabolic abnormalities, which can significantly affect treatment outcomes and quality of life. This article emphasizes the integration of multidisciplinary strategies and artificial intelligence-driven diagnostics, which have the potential to improve patient outcomes by optimizing early detection and targeted management of these complications. A recent study on 60 liver cancer patients undergoing interventional therapy highlighted the importance of recognizing and managing these complications. This article offers an overview of systemic complications in liver cancer, focusing on pathophysiological mechanisms, risk factors, and strategies to improve care. By addressing gaps in the existing literature and proposing future research directions, it underscores the importance of comprehensive, patient-centered approaches to refine therapeutic strategies.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 6","pages":"104883"},"PeriodicalIF":1.8,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the risk factors of hemagglutinase-associated hypofibrinogenemia can improve the prognosis of patients.","authors":"Ying-Fang Deng, Ya-Qi Zhao, Liang Wang, Xian-Shu Cui","doi":"10.4240/wjgs.v17.i6.101206","DOIUrl":"10.4240/wjgs.v17.i6.101206","url":null,"abstract":"<p><p>We editorialized on this study published by Zou <i>et al</i>. Gastrointestinal bleeding is a common clinical symptom, and hemocoagulase is frequently used to treat hemorrhagic conditions. However, studies have shown that hemocoagulase treatment may induce acquired hypofibrinogenemia, further aggravating the bleeding. Zou <i>et al</i> retrospectively analyzed 109 gastrointestinal bleeding cases to explore the hazards underlying hypofibrinogenemia induced by hemocoagulase, and identified higher total dose of hemocoagulase and female sex, as well as low baseline fibrinogen levels as significant hazards. Consequently, clinicians should be aware of both intrinsic and extrinsic risk factors when using hemocoagulase among this patient population, and remain vigilant for the potential development of hemocoagulase-induced hypofibrinogenemia.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 6","pages":"101206"},"PeriodicalIF":1.8,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of enhanced recovery after surgery in perioperative care of infants and children with Hirschsprung disease.","authors":"Mi-Yan Wang, Xiao-Hong Chen, Xiao-Chun He, Zhou-Jian Yang, Yu-Wei Yang, Jian Yang, Hui-Lin He","doi":"10.4240/wjgs.v17.i6.105739","DOIUrl":"10.4240/wjgs.v17.i6.105739","url":null,"abstract":"<p><strong>Background: </strong>Enhanced recovery after surgery (ERAS) represents an innovative, protocol-driven perioperative care program designed to optimize patient outcomes. However, its application and efficacy in infants and children with Hirschsprung disease (HD) remain underexplored.</p><p><strong>Aim: </strong>To delve into the impact of ERAS on perioperative recovery and the overall medical experience in HD infants and children.</p><p><strong>Methods: </strong>Thirty-eight infants and children with HD who received the Soave surgical procedure were enrolled in this case-control study. According to age- and sex-stratified single-blind randomized tables, 20 cases received ERAS treatment (ERAS group) and 18 cases received conventional treatment (control group). The two treatments were then compared in terms of perioperative recovery and medical experience.</p><p><strong>Results: </strong>Significant differences were observed in pain scores at awakening (4.2 ± 1.3 <i>vs</i> 5.2 ± 1.2, <i>t</i> = 2.516, <i>P</i> = 0.017) and pain duration (85.69 ± 7.46 hours <i>vs</i> 67.00 ± 8.56 hours, <i>t</i> = 7.139, <i>P</i> < 0.001) between the ERAS and control group. The recovery of bowel movement was earlier in the ERAS group than in the control group (borborygmus time: 33.63 ± 9.83 hours <i>vs</i> 44.69 ± 16.85 hours, <i>t</i> = 2.501, <i>P</i> = 0.017; feeding time: 36.63 ± 9.55 hours <i>vs</i> 49.36 ± 16.99 hours, <i>t</i> = 2.884, <i>P</i> = 0.007; anal catheter indwelling time: 75.83 ± 13.80 hours <i>vs</i> 93.36 ± 20.65 hours, <i>t</i> = 3.104, <i>P</i> = 0.004), and fever duration (40.73 ± 14.42 hours <i>vs</i> 52.63 ± 18.69 hours, <i>t</i> = 2.211, <i>P</i> = 0.034). In the ERAS group, hospital stay was shorter (7.5 ± 0.9 days <i>vs</i> 8.3 ± 1.2 days) and the cost was lower (14203 ± 2381 yuan <i>vs</i> 16847 ± 3558 yuan). During the 1-month follow-up period, of the multiple postoperative complications observed, the occurrence of perianal dermatitis (<i>P</i> _Fisher = 0.016) and defecation dysfunction (<i>P</i> _Fisher = 0.027) were lower in the ERAS group than in the control group.</p><p><strong>Conclusion: </strong>The ERAS protocol has the potential to profoundly enhance postoperative recovery and significantly elevate the overall comfort and quality of the medical experience, making it an indispensable approach that warrants widespread adoption. Continuous refinement through evidence-based practices is anticipated to further optimize its efficacy.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 6","pages":"105739"},"PeriodicalIF":1.8,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic efficacy, imaging characteristics, and detection accuracy of transabdominal superficial ultrasonography for various types of appendicitis.","authors":"Yu-Zhen Yue, Qin Hu, Teng-Xiang Lu","doi":"10.4240/wjgs.v17.i6.103030","DOIUrl":"10.4240/wjgs.v17.i6.103030","url":null,"abstract":"<p><strong>Background: </strong>Appendicitis is an abdominal medical emergency and can be of various types. It can lead to a series of gastrointestinal symptoms and can affect health status. Therefore, attention should be paid to the diagnosis of appendicitis to improve prognosis.</p><p><strong>Aim: </strong>To assess the value of transabdominal superficial ultrasonography (TASU) in the clinical diagnosis of various types of appendicitis.</p><p><strong>Methods: </strong>A total of 100 patients suspected to have acute appendicitis that were admitted to our hospital between July 2022 and July 2024 were selected for this study. All of them underwent conventional abdominal ultrasonography and TASU. Taking surgical pathology as the gold standard, the diagnostic efficacy of the two ultrasonographic examinations was compared, and the ultrasonographic features of patients with different types of appendicitis were analyzed.</p><p><strong>Results: </strong>Comparison with the gold standard showed that among the 100 patients suspected of appendicitis, 72 cases were diagnosed as appendicitis while 28 cases were deemed to be normal. Compared with conventional abdominal ultrasonography, TASU displayed a higher diagnostic efficiency (<i>P</i> < 0.05). Among the 72 patients with acute appendicitis, 22 cases were diagnosed as simple appendicitis, 26 cases as suppurative appendicitis, and 24 cases as gangrenous appendicitis. TASU was more effective in the diagnosis of the various types of appendicitis, and the difference was significant between groups (<i>P</i> < 0.05). Ultrasonography radiographs revealed an enlarged appendix with a tubular anechoic area, a widened lumen, with a visible occlusion or stercoral shadow and a cystic mass in the parenchyma.</p><p><strong>Conclusion: </strong>TASU can accurately diagnose appendicitis and also be used to identify the various types of appendicitis, thereby having application value.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 6","pages":"103030"},"PeriodicalIF":1.8,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoscopic treatment of benign esophageal strictures: Advances and challenges.","authors":"Chu-Xin Chen, Zhi-An Jin, Ming Yang, Feng-Ting Tang, Shan-Hong Tang","doi":"10.4240/wjgs.v17.i6.105963","DOIUrl":"10.4240/wjgs.v17.i6.105963","url":null,"abstract":"<p><p>Benign esophageal stricture is characterized by the narrowing of the digestive tract lumen due to multiple factors. Endoscopic treatment is the first treatment choice and includes endoscopic dilatation, drug injection, stenosis incision, stent implantation, stem cell flap transplantation, <i>etc</i>. However, there are currently no specific clinical standards or guidelines to quantify a series of specific parameters in the treatment of benign esophageal stricture, such as the frequency of drug administration, dosage, dilation inner diameter, and number of treatments. This leads to operator bias in clinical practice and inconsistent treatment outcomes among patients. Therefore, this article reviews the current advances and existing challenges in the endoscopic treatment of benign esophageal stricture, with the aim of exploring the possibility of achieving precision and standardization in the endoscopic treatment of this disease.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 6","pages":"105963"},"PeriodicalIF":1.8,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}