Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	113758
Country	China

Category	Gastroenterology & Hepatology
Manuscript Type	Letter to the Editor
Article Title	Feasibility analysis of ultrasound-guided percutaneous catheter drainage for pyogenic liver abscess in non-liquefied stages
Manuscript Source	Unsolicited Manuscript
All Author List	Qin-Zhi Liu, Lei Zeng and Nian-Zhe Sun
Funding Agency and Grant Number
Corresponding Author	Nian-Zhe Sun, MD, National Clinical Research Center of Geriatric Disorders, Xiangya Hospital, Central South University, No. 87 Xiangya Road, Kaifu District, Changsha 410008, Hunan Province, China. sunnzh201921@sina.com
Key Words	Percutaneous catheter drainage; Pyogenic liver abscess; Ultrasonic guidance; Non-liquefied stage; Early intervention
Core Tip	This article evaluated a retrospective study by Qiu et al, which demonstrated that ultrasound-guided percutaneous catheter drainage for non-liquefied pyogenic liver abscesses reduced hospitalization duration, accelerated fever resolution, and promoted abscess volume reduction compared to traditional “wait-for-liquefaction” management, with no increased procedural risks. Current clinical practice recommends early percutaneous catheter drainage for patients with severe symptoms or compromised immunity, whereas antibiotic therapy remains the primary approach for small abscesses or mild cases. Dynamic imaging reassessment and multidisciplinary collaboration are critical for individualized management. Large-scale multicenter prospective randomized controlled trials are still required to validate the efficacy of this precision-driven paradigm shift in pyogenic liver abscess treatment.
Citation	Liu QZ, Zeng L, Sun NZ. Feasibility analysis of ultrasound-guided percutaneous catheter drainage for pyogenic liver abscess in non-liquefied stages. World J Gastrointest Surg 2025; In press

Received	2025-09-03 06:17
Peer-Review Started	2025-09-03 06:17
To Make the First Decision
Return for Revision	2025-09-18 08:45
Revised	2025-09-19 07:44
Second Decision	2025-11-05 02:43
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-11-05 05:35
Articles in Press	2025-11-05 05:35
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
Open Access	This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Copyright	© The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Permissions	For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher	Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website	http://www.wjgnet.com