中华胃肠外科杂志最新文献

{"title":"[Consensus of Chinese experts on gut microbiota and fecal microbiota transplantation in inflammatory bowel disease (2025 edition)].","authors":"","doi":"10.3760/cma.j.cn441530-20241224-00422","DOIUrl":"https://doi.org/10.3760/cma.j.cn441530-20241224-00422","url":null,"abstract":"<p><p>In recent years, significant progress has been made in the clinical and basic research on fecal microbiota transplantation (FMT) for the treatment of inflammatory bowel disease (IBD). With the continuous application of new microbiota-based diagnostic and therapeutic concepts in clinical practice, it is imperative to standardize the diagnostic and therapeutic processes of FMT for IBD and provide consensus recommendations based on the latest evidence from evidence-based medicine for clinical practitioners. Organized by the Chinese Society for Parenteral and Enteral Nutrition of the Chinese Medical Association, the Gut Microbiota and FMT Committee of the Chinese Society for Human Health Sciences, and the Gut Microbiota Committee of the Shanghai Preventive Medicine Association, and with reference to the latest international consensus and relevant research advancements, this consensus integrates the clinical practice experience of domestic experts to establish the \"Consensus of Chinese experts on gut microbiota and fecal microbiota transplantation in inflammatory bowel disease (2025 edition)\". This consensus provides 29 recommendations focusing on the selection of FMT indications, gut microbiota analysis, donor selection and quality control for IBD transplantation, considerations during the transplantation period, selection of transplantation routes and dosages, management of FMT-related complications, and future research directions, aiming to offer standardized guidance for the clinical application of FMT in the treatment of IBD.</p>","PeriodicalId":23959,"journal":{"name":"中华胃肠外科杂志","volume":"28 3","pages":"225-235"},"PeriodicalIF":0.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Guidelines for diagnosis and treatment of abdominal wall incision hernia (2025 edition)].","authors":"","doi":"10.3760/cma.j.cn441530-20250217-00061","DOIUrl":"https://doi.org/10.3760/cma.j.cn441530-20250217-00061","url":null,"abstract":"<p><p>Incisional hernia is a type of iatrogenic disease, and its clinical treatment is complicated. In recent years, there have been new advances in the diagnosis, surgical methods, and materials science of incisional hernias. Based on the <i>Guidelines for Diagnosis and Treatment of Abdominal Wall Incisional Hernia (2018 Edition)</i>, more than 70 domestic experts have evaluated related publications using standards of evidenced-based medicine. Issues such as complex abdominal wall status, loss of domain, principles of incisional hernia treatment, techniques of abdominal wall hernia defects closure, perioperative management, and follow-up have been modified in the 2025 edition for the reference of clinicians.</p>","PeriodicalId":23959,"journal":{"name":"中华胃肠外科杂志","volume":"28 3","pages":"236-245"},"PeriodicalIF":0.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[A case report of IgG4-related diffuse sclerosing mesenteric panniculitis].","authors":"X Zhou, H P Wang, K Song, H Li","doi":"10.3760/cma.j.cn441530-20240727-00262","DOIUrl":"https://doi.org/10.3760/cma.j.cn441530-20240727-00262","url":null,"abstract":"","PeriodicalId":23959,"journal":{"name":"中华胃肠外科杂志","volume":"28 3","pages":"327-329"},"PeriodicalIF":0.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Revisiting the embryonic origin of Denonvilliers' fascia based on female structure].","authors":"X D Wang","doi":"10.3760/cma.j.cn441530-20240606-00200","DOIUrl":"https://doi.org/10.3760/cma.j.cn441530-20240606-00200","url":null,"abstract":"<p><p>There has been significant controversy over the existence of Denonvilliers' fascia in women. To verify and explore whether women have Denonvilliers' fascia equivalent to men, and its impact and significance on rectal cancer surgery, we conducted observation and research based on previous views, combined with adult female pelvic specimens and surgical video data. No independent and intact fascial structures similar to Denonvilliers' fascia was found in the rectovaginal space. We believe that there may not be an independent fascial structure equivalent to the male Denonvilliers' fascia between the female rectum and vagina. The Denonvilliers' fascia may be an organ and tissue related to gender and regulated by sex hormones during development (i.e., the male Denonvilliers' fascia may be an undeveloped vagina).</p>","PeriodicalId":23959,"journal":{"name":"中华胃肠外科杂志","volume":"28 3","pages":"320-322"},"PeriodicalIF":0.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[A case report of Congenital midgut malrotation with herniation of the jejunum into a malformed omentum].","authors":"Q Wang, K Sun","doi":"10.3760/cma.j.cn441530-20240306-00087","DOIUrl":"https://doi.org/10.3760/cma.j.cn441530-20240306-00087","url":null,"abstract":"","PeriodicalId":23959,"journal":{"name":"中华胃肠外科杂志","volume":"28 1","pages":"88-89"},"PeriodicalIF":0.0,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Precise diagnosis and treatment strategies for gastric cancer guided by clinical issues].","authors":"W T Mei, X Y Gao, J F Ji","doi":"10.3760/cma.j.cn441530-20250106-00009","DOIUrl":"https://doi.org/10.3760/cma.j.cn441530-20250106-00009","url":null,"abstract":"<p><p>In recent years, along with the rapid progress of innovative drugs, novel devices, frontier technologies, and artificial intelligence, the therapeutic model for tumors has undergone tremendous changes, with a greater emphasis on precise diagnosis and treatment of clinical issues. Nevertheless, in clinical practice, numerous problems still impede the implementation of precise treatment. This article intends to be guided by the crucial clinical issues in the diagnosis, surgery, and drug treatment of gastric cancer, to explore the strategies of precise diagnosis and treatment for gastric cancer and the frontier research directions, thereby providing new concepts and potential research directions for further enhancing the precision, efficacy of gastric cancer diagnosis and treatment, and the quality of life of patients.</p>","PeriodicalId":23959,"journal":{"name":"中华胃肠外科杂志","volume":"28 1","pages":"28-35"},"PeriodicalIF":0.0,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Chinese clinical practice guideline for the laparoscopic endoscopic cooperative surgery in gastrointestinal tumor (2025 Shenzhen)].","authors":"","doi":"10.3760/cma.j.cn441530-20241125-00381","DOIUrl":"https://doi.org/10.3760/cma.j.cn441530-20241125-00381","url":null,"abstract":"<p><p>With advancements in surgical technology, minimally invasive and function- preserving approaches have become fundamental objectives of both patients and physicians. In recent years, laparoscopic endoscopic cooperative surgery (LECS) has gained increasing attention for its significant role in achieving these goals. However, a notable gap remains in the availability of evidence-based guidelines to standardize the clinical implementation of LECS for gastrointestinal tumors. This guideline is collaboratively developed by the Gastrointestinal Stromal Tumor Committee of the Chinese Anti-Cancer Association, Chinese Gastric Cancer Association, the NOTES Group of the Digestive Endoscopy Branch of the Chinese Medical Association, and the Greater Bay Area Laparoscopic Endoscopic Cooperative Surgery Alliance. Through integrating the current best evidence and experts' opinions, we developed 22 recommendations on 16 clinical questions, including the LECS indications, use of antibiotics, enhanced recovery after surgery, wound suture, and surgical training. This guideline provides comprehensive guidance and recommendations for LECS, aimed at promoting the precise, minimally invasive and function-preserving treatment of gastrointestinal tumors.</p>","PeriodicalId":23959,"journal":{"name":"中华胃肠外科杂志","volume":"28 1","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Identifying phenotypes of surgical site infection in patients after gastrointestinal surgery].","authors":"X F Zhang, Y Y Yang, M L Wu, Z W Hong, H J Ren, L Wu, X W Wu, J A Ren","doi":"10.3760/cma.j.cn441530-20240511-00175","DOIUrl":"https://doi.org/10.3760/cma.j.cn441530-20240511-00175","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;Objective:&lt;/b&gt; Surgical site infection (SSI) is a common health care-related infection after gastrointestinal surgery. Once SSI occurs after surgery, it can significantly prolong the postoperative hospital stay, increase the cost burden of patients and society, and even endanger the life safety of patients. The purpose of this study was to investigate the clinical phenotypes of gastrointestinal surgery, identify the clinical characteristics of SSI, and provide reference for the prevention of SSI after gastrointestinal surgery. &lt;b&gt;Methods:&lt;/b&gt; This is a multicenter prospective cohort study that collected clinical data from all adult patients undergoing gastrointestinal surgery from March 2021 to February 2022 at 42 hospitals in China, including baseline and perioperative characteristics. Based on the variables associated with SSI, latent class analysis (LCA) was used to explore the population characteristics of SSI. &lt;b&gt;Results:&lt;/b&gt; In total, 16 087 patients were included in the study, of whom 345 (2.1%) developed SSI. LCA analysis revealed that patients undergoing gastrointestinal surgery were classified into four clinical phenotypes, including α (3851), β (1538), γ (6387), and δ (4311). Type α had minimal abnormality on related system functions (ASA score &gt; 2: 4.5% [173/3851]), and mainly underwent appendix surgery (98.9% [3808/3851]). The postoperative SSI incidence of type α was 0.4% (16/3,851), which belonged to the group of SSI low risk. The abnormality of system functions of type β (ASA score &gt; 2: 17.4% [268/1538]) was worse than that of type α. Type β mainly underwent stomach surgery (72.4% [1113/1538]), and its incidence of postoperative SSI was 1.2% (18/1538), belonging to the group of SSI medium risk. The ASA score of type γ (ASA score &gt; 2: 18.0% [1148/6387]) was comparable to that of type β. Type γ mainly received colorectal surgery (colon surgery: 40.1% [2562/6387]; rectal surgery: 33.6%[2143/6387]), and its incidence of postoperative SSI was 1.7% (106/6387), belonging to the group of SSI medium risk. Type δ (ASA score &gt; 2: 23.5%[1015/4311]) was the most serious type with the highest proportion of open surgery. Type δ mainly underwent small intestine (54.0%[2327/4311]) and stomach surgery (32.3% [1392/4311]) and had the highest incidence of SSI (4.8% [205/4311]) and the highest mortality rate (0.6% [24/4311]), belonging to the group of SSI high risk. Compared with type α and β, the median length of hospital stay (α, β, γ, and δ: 5.0 days, 9.6 days, 13.0 days, and 16.0 days, &lt;i&gt;P&lt;/i&gt;&lt;0.001) and postoperative hospital stay (α, β, γ, and δ: 4.0days, 6.0days, 8.3 days, and 10.0 days, &lt;i&gt;P&lt;/i&gt;&lt;0.001) of type γ and δ were significantly increased, and the median medical costs (α, β, γ, and δ: 14 178.7 yuan, 39 514.2 yuan, 62 893.0 yuan and 57 266.6 yuan, &lt;i&gt;P&lt;/i&gt;&lt;0.001) were also significantly increased. &lt;b&gt;Conclusion:&lt;/b&gt; LCA analysis elucidated four clinical phenotypes of patients undergoing gastrointestinal surgery. Type α had a l","PeriodicalId":23959,"journal":{"name":"中华胃肠外科杂志","volume":"28 1","pages":"67-74"},"PeriodicalIF":0.0,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Predictive value of different obesity indicators for colorectal cancer in different sex populations].","authors":"C Ma, J X Li, K Liu, W C Wang, Y Tian, T X Jiang, Z G Dong, W Q Wei, S L Wu, S Q Liu","doi":"10.3760/cma.j.cn441530-20240624-00224","DOIUrl":"https://doi.org/10.3760/cma.j.cn441530-20240624-00224","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;Objective:&lt;/b&gt; To investigate the predictive value of different obesity indicators for colorectal cancer (CRC) risk in different gender populations. &lt;b&gt;Methods:&lt;/b&gt; This observational study was conducted within the Kailuan Study (Registration Number: ChiCTR-TNC-11001489). From July 2006 to October 2007, a total of 101,510 employed and retired individuals underwent health examinations, including gastrointestinal disease screening, hematological tests, and questionnaires, at Kailuan General Hospital and its 10 affiliated hospitals. After excluding those with incomplete data, 93,606 participants were included in this study and divided into male (74 852) and female (18 754) groups. CRC incidence was collected through physical examinations and questionnaires every two years. Each participant's follow-up period began at the time of the questionnaire and ended upon CRC diagnosis, death, or December 31, 2021. Body Mass Index (BMI), waist circumference, waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR) were quartiled (Q1, Q2, Q3, Q4), with Q1 serving as the control group. After adjusting for traditional risk factors such as age, total cholesterol, triglycerides, diabetes, hypertension, smoking status, alcohol consumption, and physical exercise, Cox regression models were used to calculate the correlations between BMI, waist circumference, WHR, WHtR, and CRC incidence in both male and female populations. &lt;b&gt;Results:&lt;/b&gt; The age of all patients was (51±12) years, BMI was (25.06±3.49) kg/m&lt;sup&gt;2&lt;/sup&gt;, waist circumference was (86.94±9.97) cm, hip circumference was (97.30±8.81) cm, WHR was 0.89±0.07, and WHtR was 0.52±0.06.Female participants had significantly lower BMI, waist circumference, WHR, and WHtR compared to males, with statistically significant differences (all &lt;i&gt;P&lt;/i&gt;&lt;0.05). The mean follow-up duration for all participants was 15.01 (14.10±2.66) years, during which 718 CRC cases were identified, including 626 males (0.83%) and 92 females (0.49%). Cox proportional hazards models for males showed that CRC risk increased with waist circumference from Q3 (HR=1.43, 95%CI: 1.13-1.79, &lt;i&gt;P&lt;/i&gt;=0.003) to Q4 (HR=1.45,95%CI: 1.14-1.82, &lt;i&gt;P&lt;/i&gt;=0.002). Similarly, CRC risk increased with WHR from Q3 (HR=1.22, 95%CI: 1.01-1.53, &lt;i&gt;P&lt;/i&gt;=0.007) to Q4 (HR=1.43, 95%CI: 1.14-1.79, &lt;i&gt;P&lt;/i&gt;=0.002) and with WHtR from Q3 (HR=1.37, 95%CI: 1.08-1.74, &lt;i&gt;P&lt;/i&gt;=0.009) to Q4 (HR=1.68, 95%CI: 1.33-2.12, &lt;i&gt;P&lt;/i&gt;&lt;0.001). For females, CRC risk increased with waist circumference from Q2 (HR=2.37, 95%CI: 1.20-4.67, &lt;i&gt;P&lt;/i&gt;=0.012) to Q3 (HR=2.42, 95%CI: 1.21-4.84, &lt;i&gt;P&lt;/i&gt;=0.013) but decreased in Q4 (&lt;i&gt;HR&lt;/i&gt;=2.08, 95%CI: 1.02-4.25, &lt;i&gt;P&lt;/i&gt;=0.043). CRC risk increased significantly with WHR from Q2 (HR=2.20, 95%CI: 1.11-4.39, &lt;i&gt;P&lt;/i&gt;=0.024) to Q3 (HR=2.89, 95%CI: 1.48-5.67, &lt;i&gt;P&lt;/i&gt;=0.002) in females but was not statistically significant in Q4 (&lt;i&gt;P&lt;/i&gt;=0.074). Among females, CRC risk also increased significantly with WHtR in Q2 (HR=2.30, 95% CI: 1.16-4.56","PeriodicalId":23959,"journal":{"name":"中华胃肠外科杂志","volume":"28 1","pages":"75-80"},"PeriodicalIF":0.0,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Prevention and treatment strategies of anastomotic leakage in laparoscopic low anterior resection in locally advanced rectal cancer].","authors":"G B Li, G L Lin","doi":"10.3760/cma.j.cn441530-20240427-00158","DOIUrl":"https://doi.org/10.3760/cma.j.cn441530-20240427-00158","url":null,"abstract":"<p><p>Anastomotic leakage is a common complication in laparoscopic rectal cancer surgery, which can significantly impact patient recovery. This issue becomes even more critical in the context of the widespread application of standardized and procedural neoadjuvant patterns, as well as the increasing feasibility of anal-preserving surgery for ultra-low rectal cancer. Therefore, strategies to reduce or prevent anastomotic leakage are of paramount importance. Anastomotic tension and blood supply are two key factors that contribute to the success of anastomosis. In laparoscopic rectal cancer surgery, minimizing anastomotic tension and optimizing blood supply are essential to preventing or mitigating the occurrence of anastomotic leakage. This article would discuss the risk factors, preventive measures, and treatment approaches for postoperative anastomotic leakage in rectal cancer surgery.</p>","PeriodicalId":23959,"journal":{"name":"中华胃肠外科杂志","volume":"28 1","pages":"90-94"},"PeriodicalIF":0.0,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}