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Correction to ‘ChatGPT as a patient education tool in colorectal cancer—An in-depth assessment of efficacy, quality and readability’ 修正“ChatGPT作为结直肠癌患者教育工具——深入评估其疗效、质量和可读性”。
IF 2.7 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-07 DOI: 10.1111/codi.70367

Siu, A.H., Gibson, D.P., Chiu, C., Kwok, A., Irwin, M., Christie, A., Koh, C.E., Keshava, A., Reece, M., Suen, M. and Rickard, M.J., 2025. ChatGPT as a patient education tool in colorectal cancer—An in-depth assessment of efficacy, quality and readability. Colorectal Disease, 27(1), p. e17267.

In the published article, the authorship contribution was incorrectly stated.

Correct Information: Adrian Siu and Damien Gibson contributed equally and should be recognized as joint first authors.

We apologize for this error.

Siu, a.h., Gibson, d.p., Chiu, C, Kwok, A., Irwin, M., Christie, A., Koh, c.e., Keshava, A., Reece, M., Suen, M.和Rickard, m.j., 2025。ChatGPT作为结直肠癌患者教育工具的疗效、质量和可读性的深入评估结直肠疾病杂志,27(1),p. 1767。在这篇发表的文章中,作者的贡献被错误地写了出来。正确信息:Adrian Siu和Damien Gibson贡献相同,应被视为共同第一作者。我们为这个错误道歉。
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引用次数: 0
Perineal rupture: Overlapping or end-to-end sphincteroplasty? A video vignette 会阴破裂:重叠括约肌成形术还是端到端括约肌成形术?一个视频短片。
IF 2.7 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-06 DOI: 10.1111/codi.70357
Sthela M. Murad-Regadas, Jose Jader Araujo de Mendonça Filho, F Sergio P. Regadas Filho, Carlos Magno Queiroz da Cunha, Matheus E. de Brito Castelo Branco, Marina Murad Regadas
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引用次数: 0
Reassessing drainage strategies for anastomotic leak after elective anterior resection: Insights from a systematic review and pooled analysis 择期前切除术后吻合口瘘引流策略的再评估:来自系统回顾和汇总分析的见解。
IF 2.7 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-06 DOI: 10.1111/codi.70361
Sithdharthan Ravikumar, Aravindan Narayanan
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引用次数: 0
Surgeon preferences and practice patterns in rectopexy: Results of an international survey 直肠固定术的外科医生偏好和实践模式:一项国际调查的结果。
IF 2.7 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-04 DOI: 10.1111/codi.70355
Eleftherios Gialamas, Isabelle Uhe, Pierre-Alain Tokoto, Emilie Liot, Frédéric Ris, Steven D. Wexner, Jeremy Meyer, Guillaume Meurette, the International Rectopexy Collaborative Group

Aim

Rectopexy is the preferred abdominal intervention for rectal prolapse. Despite similar procedural steps – rectal mobilisation, prolapse reduction, and fixation – techniques vary widely, and onsensus on the optimal approach is lacking. This study aimed to assess global surgeon preferences and practices in rectopexy.

Methods

An international 28-item online survey was distributed between November 2023 and March 2024 through professional networks and social media. Questions addressed surgeon demographics, perioperative strategies, and technical approaches to rectopexy. Responses were analysed descriptively and stratified by region and specialty.

Results

A total of 226 surgeons from 36 countries across four continents completed the survey. Most respondents (79.6%) administered preoperative intravenous antibiotics, and 80.5% used some form of mechanical bowel preparation. Minimally invasive approaches predominated (81%), with laparoscopy being most common. Posterior dissection was preferred by 61.5%, while 38.5% favoured ventral (anterior) dissection. Two-thirds (68.1%) routinely used mesh, predominantly synthetic. Only 15% performed rectopexy as a day-case procedure. Regional and specialty-related variations were evident in approach, mesh type, and perioperative protocols.

Conclusion

This international survey reveals marked variability in rectopexy practice worldwide. Despite common principles, surgeon preference and regional factors strongly influence decision-making. The findings emphasise the need for updated international guidelines to harmonise technique selection and perioperative management in rectal prolapse surgery.

目的:直肠固定术是治疗直肠脱垂的首选方法。尽管类似的手术步骤-直肠活动,脱垂复位和固定-技术差异很大,缺乏最佳入路的共识。本研究旨在评估全球外科医生对直肠固定术的偏好和实践。方法:在2023年11月至2024年3月期间,通过专业网络和社交媒体进行了一项28项的国际在线调查。问题涉及外科医生人口统计学,围手术期策略和直肠固定术的技术方法。对反应进行描述性分析,并按地区和专业进行分层。结果:共有来自四大洲36个国家的226名外科医生完成了调查。大多数应答者(79.6%)术前静脉注射抗生素,80.5%使用某种形式的机械肠道准备。微创入路占主导地位(81%),腹腔镜是最常见的。61.5%的患者倾向于后侧剥离,38.5%的患者倾向于腹侧(前)剥离。三分之二(68.1%)常规使用网状物,主要是合成物。只有15%的人将直肠固定术作为日间手术。区域和专业相关的差异在入路、补片类型和围手术期方案上是明显的。结论:这项国际调查揭示了世界范围内直肠固定术的显著差异。尽管有共同的原则,外科医生的偏好和地区因素强烈影响决策。研究结果强调需要更新国际指南,以协调直肠脱垂手术的技术选择和围手术期管理。
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引用次数: 0
Keyhole laparoscopic technique for parastomal hernia repair with prior optimization using botulinum toxin and pneumoperitoneum—A video vignette 使用肉毒杆菌毒素和气腹预先优化的锁孔腹腔镜造口旁疝修复技术- a视频片段。
IF 2.7 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-02 DOI: 10.1111/codi.70354
Cristina Reguero Fernández, Omar Carreño-Sáenz, José Bueno Lledó, Providencia García Pastor, Santiago Bonafé Diana, Victoria Pareja Ibars, Salvador Pous Serrano
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引用次数: 0
Post-operative sarcopenia kinetics as an emerging target for improved colorectal cancer outcomes 术后肌肉减少动力学是改善结直肠癌预后的新靶点。
IF 2.7 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-12-30 DOI: 10.1111/codi.70337
Xinyi Xiong, Qian Cao, Guang Yang
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引用次数: 0
Correction to ‘‘And don't say everything will be normal!’: An international cross-sectional survey on the patients' unmet sexual wellbeing needs after ostomy formation’. 2025:27(10):1–10 更正“不要说一切都会正常!”:一项关于造口术后患者未满足的性健康需求的国际横断面调查。2025:27(10): 1 - 10。
IF 2.7 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-12-29 DOI: 10.1111/codi.70350

Simona F, Jan B, Christine N, Wladyslawa C. ‘And don't say everything will be normal!’: An international cross-sectional survey on the patients’ unmet sexual wellbeing needs after ostomy formation. Colorectal Dis. 2025;27(10):1–10.

The author names in the original published version appeared with given names and surnames in inverse order. They were presented as:

Fourie Simona, Bornschein Jan, Norton Christine, Czuber-Dochan Wladyslawa

The correct author names should read:

Simona Fourie, Jan Bornschein, Christine Norton, Wladyslawa Czuber-Dochan

This has now been corrected.

We apologize for this error.

Simona F, Jan B, Christine N, Wladyslawa C.不要说一切都会恢复正常!:一项关于造口术后患者未满足的性健康需求的国际横断面调查。大肠癌杂志,2025;27(10):1-10。在最初出版的版本中,作者的名字和姓氏以相反的顺序出现。正确的作者名字应该是:Simona Fourie, Bornschein Jan, Norton Christine, Czuber-Dochan Wladyslawa。这已经被更正了。我们为这个错误道歉。
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引用次数: 0
Prospective case-control cohort analysis of two-day/two-stage pelvic exenteration surgery: Safety, feasibility, acceptability and medium-term outcomes 2天/ 2期盆腔切除手术的前瞻性病例-对照队列分析:安全性、可行性、可接受性和中期结果。
IF 2.7 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-12-29 DOI: 10.1111/codi.70353
Charles T. West, Yousif Salem, Siddharth Jain, Lewis Matthews, Julian Smith, Marios Nicolaou, Hideaki Yano, Malcolm A. West, Alex H. Mirnezami

Aim

Pelvic exenteration (PE) is the only curative option for extensive pelvic cancers. Advances have facilitated increasingly complex resectional and reconstructive components, including per-operative oncological adjuncts such as intraoperative radiotherapy. Cumulatively, these components increase operative duration beyond what is feasible within a single conventional operating day. Two-day/two-stage PE addresses this, but little is known about this approach. This study aims to evaluate the feasibility, safety and medium-term outcomes of a two-day/two-stage PE.

Method

Consecutive patients (2010–2025) from a prospectively maintained high-volume PE unit database (n = 373) undergoing two-day/two-stage PE were compared against a matched control cohort of single-day cases lasting ≥15 h. EQ5D-5L and decision regret scores were longitudinally collected after 2021. Surgical, oncological and health-related quality-of-life outcomes were evaluated.

Results

Twenty-seven patients underwent two-day/two-stage PE, and 38 had one-day PE; more anal cancers were in the two-day/two-stage group (p = 0.012); median follow-up was 24.2 months. No 90-day mortalities occurred; 3-year overall survival was 54.4% for two-day/two-stage PE and 70.5% for one-day PE (p = 0.31); and R0-resection rates were 82% and 76%, respectively (p = 0.76). Major morbidity occurred in 56% and 47% (p = 0.62), with a median length of stay of 37 and 27 days (p = 0.07) and intensive care days of 5 and 3 (p = 0.08). 12-month EQ5D-5L utility scores were 0.79 and 0.81 (p = 0.96), with low 12-month decision regret in both groups (p = 0.15).

Conclusion

Two-day/two-stage PE is safe and feasible, potentially representing the only option for highly selected patients needing high-complexity PE with multiple components. Although equivalent R0-resections were obtained, medium-term oncological outcomes were poorer in patients undergoing two-day/two-stage interventions.

目的:盆腔切除(PE)是广泛盆腔癌的唯一治疗选择。技术的进步促进了越来越复杂的切除和重建组件,包括术中放疗等手术前肿瘤辅助。累积起来,这些组件增加了作业时间,超出了单个常规作业日的可行性。两天/两阶段PE解决了这个问题,但对这种方法知之甚少。本研究旨在评估为期两天/两阶段PE的可行性、安全性和中期结果。方法:从前瞻性维护的大容量PE单位数据库(n = 373)中连续(2010-2025)接受2天/ 2期PE的患者(n = 373)与持续≥15小时的1天病例的匹配对照队列进行比较。2021年后纵向采集EQ5D-5L和决策后悔评分。评估手术、肿瘤和健康相关的生活质量结果。结果:27例患者进行了2天/ 2期PE, 38例进行了1天PE;2天/两期治疗组肛门癌发生率更高(p = 0.012);中位随访时间为24.2个月。未发生90天死亡;2天/ 2期PE的3年总生存率为54.4%,1天PE的3年总生存率为70.5% (p = 0.31);r0切除率分别为82%和76% (p = 0.76)。重发病发生率分别为56%和47% (p = 0.62),中位住院天数分别为37天和27天(p = 0.07),重症监护天数分别为5天和3天(p = 0.08)。12个月EQ5D-5L效用评分分别为0.79和0.81 (p = 0.96),两组的12个月决策后悔较低(p = 0.15)。结论:两天/两期PE是安全可行的,可能是需要高复杂性多组分PE的高选择性患者的唯一选择。虽然获得了相当的r0切除,但接受两天/两期干预的患者中期肿瘤预后较差。
{"title":"Prospective case-control cohort analysis of two-day/two-stage pelvic exenteration surgery: Safety, feasibility, acceptability and medium-term outcomes","authors":"Charles T. West,&nbsp;Yousif Salem,&nbsp;Siddharth Jain,&nbsp;Lewis Matthews,&nbsp;Julian Smith,&nbsp;Marios Nicolaou,&nbsp;Hideaki Yano,&nbsp;Malcolm A. West,&nbsp;Alex H. Mirnezami","doi":"10.1111/codi.70353","DOIUrl":"10.1111/codi.70353","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Pelvic exenteration (PE) is the only curative option for extensive pelvic cancers. Advances have facilitated increasingly complex resectional and reconstructive components, including per-operative oncological adjuncts such as intraoperative radiotherapy. Cumulatively, these components increase operative duration beyond what is feasible within a single conventional operating day. Two-day/two-stage PE addresses this, but little is known about this approach. This study aims to evaluate the feasibility, safety and medium-term outcomes of a two-day/two-stage PE.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Consecutive patients (2010–2025) from a prospectively maintained high-volume PE unit database (<i>n</i> = 373) undergoing two-day/two-stage PE were compared against a matched control cohort of single-day cases lasting ≥15 h. EQ5D-5L and decision regret scores were longitudinally collected after 2021. Surgical, oncological and health-related quality-of-life outcomes were evaluated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-seven patients underwent two-day/two-stage PE, and 38 had one-day PE; more anal cancers were in the two-day/two-stage group (<i>p</i> = 0.012); median follow-up was 24.2 months. No 90-day mortalities occurred; 3-year overall survival was 54.4% for two-day/two-stage PE and 70.5% for one-day PE (<i>p</i> = 0.31); and R0-resection rates were 82% and 76%, respectively (<i>p</i> = 0.76). Major morbidity occurred in 56% and 47% (<i>p</i> = 0.62), with a median length of stay of 37 and 27 days (<i>p</i> = 0.07) and intensive care days of 5 and 3 (<i>p</i> = 0.08). 12-month EQ5D-5L utility scores were 0.79 and 0.81 (<i>p</i> = 0.96), with low 12-month decision regret in both groups (<i>p</i> = 0.15).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Two-day/two-stage PE is safe and feasible, potentially representing the only option for highly selected patients needing high-complexity PE with multiple components. Although equivalent R0-resections were obtained, medium-term oncological outcomes were poorer in patients undergoing two-day/two-stage interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"28 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12748039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145854582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ileoanal pouch surgery in 2026 2026年进行回肠袋手术。
IF 2.7 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-12-28 DOI: 10.1111/codi.70352
Guy Worley
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引用次数: 0
Outcomes of the Deloyers procedure: A systematic review and meta-analysis of proportions 德勤程序的结果:比例的系统回顾和荟萃分析。
IF 2.7 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-12-22 DOI: 10.1111/codi.70346
Lucas Monteiro Delgado, Gabriel Leal Barone, Giulia Luiza Garcia, Henrique Vaz da Mota, Giovanna Barbaroto Pilon, Lucas Soares de Souza Pinto Guedes, Sérgio Mazzola Poli de Figueiredo, Bernardo Fontel Pompeu, Fernanda Bellotti Formiga

Background

Extended left hemicolectomies may result in a short transverse colon and excessive mesenteric tension, precluding a tension-free anastomosis. The Deloyers procedure is a colonic rotation technique that facilitates anastomosis without total colectomy. This study aimed to evaluate short-term outcomes following the Deloyers procedure in patients undergoing left-sided colorectal resections.

Methods

A systematic review and meta-analysis were conducted using PubMed, Scopus and the Cochrane Central Register to identify observational studies published up to March 2025. Continuous outcomes were pooled as means with 95% confidence intervals (CIs) and binary outcomes as proportions. Heterogeneity was assessed using the I2 statistic and Cochrane Q-test. All analyses were performed using R (v4.4.1).

Results

Thirteen studies including 287 patients undergoing the Deloyers procedure were analysed. The pooled mean operating time was 256.7 min (95% CI, 188.5–349.6), intraoperative blood loss was 327.5 mL (95% CI, 227.9–470.6) and the perioperative transfusion rate was 25% (95% CI, 16%–35%). Postoperative recovery outcomes included a mean hospital stay of 9.9 days (95% CI, 7.6–12.9), an ileus rate of 15% (95% CI, 7%–30%) and an average of 2.9 bowel movements per day (95% CI, 2.4–3.5). Reported complications included Clavien–Dindo grade I–II events in 36% of patients (95% CI, 14%–66%) and grade III–IV events in 12% (95% CI, 5%–24%). The pooled rate of surgical site infection was 13% (95% CI, 4%–34%), small bowel obstruction 6% (95% CI, 0%–35%) and anastomotic leakage 1% (95% CI, 0%–7%). The overall mortality rate was 0% (95% CI, 0%–1%), with two deaths reported in patients with significant comorbidities and advanced oncological disease.

Conclusion

The Deloyers procedure is a feasible surgical alternative in patients requiring extended left-sided colectomy, providing acceptable operative times, functional recovery and complication rates. It may help avoid total colectomy in anatomically complex cases.

背景:扩大左半结肠切除术可能导致横结肠短和肠系膜过度紧张,妨碍无张力吻合。Deloyers手术是一种结肠旋转技术,无需全结肠切除术即可实现吻合。本研究旨在评估左结肠直肠癌切除术患者行Deloyers手术后的短期预后。方法:使用PubMed、Scopus和Cochrane Central Register进行系统回顾和荟萃分析,以确定截至2025年3月发表的观察性研究。连续结果合并为均值,95%置信区间(ci)和二元结果合并为比例。采用I2统计量和Cochrane q检验评估异质性。所有分析均使用R (v4.4.1)进行。结果:13项研究包括287例接受Deloyers手术的患者。合并平均手术时间256.7 min (95% CI, 188.5 ~ 349.6),术中出血量327.5 mL (95% CI, 227.9 ~ 470.6),围手术期输血率25% (95% CI, 16% ~ 35%)。术后恢复结果包括平均住院时间9.9天(95% CI, 7.6-12.9),肠梗阻率15% (95% CI, 7%-30%),平均每天排便2.9次(95% CI, 2.4-3.5)。报告的并发症包括36%的患者发生I-II级Clavien-Dindo事件(95% CI, 14%-66%), 12%的患者发生III-IV级事件(95% CI, 5%-24%)。手术部位感染的总发生率为13% (95% CI, 4%-34%),小肠梗阻6% (95% CI, 0%-35%),吻合口漏1% (95% CI, 0%-7%)。总死亡率为0% (95% CI, 0%-1%),有2例死亡报告患者伴有显著合并症和晚期肿瘤疾病。结论:对于需要延长左侧结肠切除术的患者,Deloyers手术是一种可行的手术选择,具有可接受的手术时间、功能恢复和并发症发生率。它可能有助于避免全结肠切除术在解剖复杂的情况下。
{"title":"Outcomes of the Deloyers procedure: A systematic review and meta-analysis of proportions","authors":"Lucas Monteiro Delgado,&nbsp;Gabriel Leal Barone,&nbsp;Giulia Luiza Garcia,&nbsp;Henrique Vaz da Mota,&nbsp;Giovanna Barbaroto Pilon,&nbsp;Lucas Soares de Souza Pinto Guedes,&nbsp;Sérgio Mazzola Poli de Figueiredo,&nbsp;Bernardo Fontel Pompeu,&nbsp;Fernanda Bellotti Formiga","doi":"10.1111/codi.70346","DOIUrl":"10.1111/codi.70346","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Extended left hemicolectomies may result in a short transverse colon and excessive mesenteric tension, precluding a tension-free anastomosis. The Deloyers procedure is a colonic rotation technique that facilitates anastomosis without total colectomy. This study aimed to evaluate short-term outcomes following the Deloyers procedure in patients undergoing left-sided colorectal resections.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic review and meta-analysis were conducted using PubMed, Scopus and the Cochrane Central Register to identify observational studies published up to March 2025. Continuous outcomes were pooled as means with 95% confidence intervals (CIs) and binary outcomes as proportions. Heterogeneity was assessed using the <i>I</i><sup>2</sup> statistic and Cochrane <i>Q</i>-test. All analyses were performed using R (v4.4.1).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirteen studies including 287 patients undergoing the Deloyers procedure were analysed. The pooled mean operating time was 256.7 min (95% CI, 188.5–349.6), intraoperative blood loss was 327.5 mL (95% CI, 227.9–470.6) and the perioperative transfusion rate was 25% (95% CI, 16%–35%). Postoperative recovery outcomes included a mean hospital stay of 9.9 days (95% CI, 7.6–12.9), an ileus rate of 15% (95% CI, 7%–30%) and an average of 2.9 bowel movements per day (95% CI, 2.4–3.5). Reported complications included Clavien–Dindo grade I–II events in 36% of patients (95% CI, 14%–66%) and grade III–IV events in 12% (95% CI, 5%–24%). The pooled rate of surgical site infection was 13% (95% CI, 4%–34%), small bowel obstruction 6% (95% CI, 0%–35%) and anastomotic leakage 1% (95% CI, 0%–7%). The overall mortality rate was 0% (95% CI, 0%–1%), with two deaths reported in patients with significant comorbidities and advanced oncological disease.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The Deloyers procedure is a feasible surgical alternative in patients requiring extended left-sided colectomy, providing acceptable operative times, functional recovery and complication rates. It may help avoid total colectomy in anatomically complex cases.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 12","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12722197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145809958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Colorectal Disease
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