Publication Name	World Journal of Gastroenterology
Manuscript ID	116264
Country	China

Category	Gastroenterology & Hepatology
Manuscript Type	Editorial
Article Title	From feasibility to biological recovery: Reframing enhanced recovery pathways for elderly gastric cancer patients
Manuscript Source	Invited Manuscript
All Author List	Gang Wang and Sheng-Jie Pan
Funding Agency and Grant Number
Corresponding Author	Gang Wang, MD, PhD, Professor, Department of General Surgery, The First Affiliated Hospital of Soochow University, No. 899 Pinghai Road, Suzhou 215006, Jiangsu Province, China. 286651551@qq.com
Key Words	Enhanced recovery after surgery; Gastric cancer; Elderly patients; Functional recovery; Biological resilience; Nutritional support
Core Tip	Enhanced recovery after surgery (ERAS) has demonstrated safety and feasibility for elderly patients with gastric cancer, but feasibility alone does not define success. This editorial reframes ERAS as a pathway toward functional recovery-restoring biological resilience, metabolic homeostasis, and circadian stability while preserving independence. By integrating psychophysiological support, nutritional-inflammatory modulation, and digital monitoring, ERAS can evolve into an adaptive, precision rehabilitation model that bridges chronological age and biological potential.
Citation	Wang G, Pan SJ. From feasibility to biological recovery: Reframing enhanced recovery pathways for elderly gastric cancer patients. World J Gastroenterol 2025; In press

Received	2025-11-06 06:45
Peer-Review Started	2025-11-06 06:45
First Decision by Editorial Office Director	2025-11-21 10:09
Return for Revision	2025-11-21 10:09
Revised	2025-11-22 03:52
Publication Fee Transferred
Second Decision by Editor	2025-12-29 02:38
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2025-12-29 06:07
Articles in Press	2025-12-29 06:07
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1007-9327 (print) and 2219-2840 (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: https://creativecommons.org/Licenses/by-nc/4.0/
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