Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	112780
Country	China

Category	Gastroenterology & Hepatology
Manuscript Type	Retrospective Study
Article Title	Effects of early activity intervention on intestinal motility recovery in patients after colorectal cancer surgery
Manuscript Source	Unsolicited Manuscript
All Author List	Xiu-Lian Zhang, Ai-Ping Lin, Tian-Sheng Lin and You-Qing Huang
Funding Agency and Grant Number
Corresponding Author	You-Qing Huang, Department of Hepatobiliary, Pancreatic and Vascular Surgery, The First Affiliated Hospital of Xiamen University, No. 55 Zhenhai Road, Siming District, Xiamen 361003, Fujian Province, China. 13695002565@163.com
Key Words	Colorectal cancer; Postoperative rehabilitation; Early activity intervention; Inflammatory response; Nursing satisfaction
Core Tip	This retrospective study demonstrates that systematic early activity intervention following colorectal cancer surgery significantly accelerates intestinal motility recovery (19.3 hours faster first flatus) while reducing complications by 62.5%. The protocol progresses from passive bed exercises within 6 hours to walking after 48 hours post-surgery. Beyond physiological improvements, early mobilization enhanced pain management, improved enteral nutrition tolerance (90.0% vs 72.5%), and reduced nursing workload by 18.6%. The intervention also improved patient psychological well-being and sleep quality. As a non-pharmacological, cost-effective intervention easily implementable within existing enhanced recovery after surgery protocols, early activity intervention represents an evidence-based approach suitable for routine clinical adoption in colorectal cancer surgery recovery.
Citation	Zhang XL, Lin AP, Lin TS, Huang YQ. Effects of early activity intervention on intestinal motility recovery in patients after colorectal cancer surgery. World J Gastrointest Surg 2025; In press

Received	2025-08-19 08:41
Peer-Review Started	2025-08-19 08:41
To Make the First Decision
Return for Revision	2025-09-12 03:05
Revised	2025-09-25 14:32
Second Decision	2025-11-13 02:40
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-11-13 07:42
Articles in Press	2025-11-13 07:42
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
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