Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	120918
DOI	10.4240/wjgs.120918
Country	China

Category	Surgery
Manuscript Type	Retrospective Cohort Study
Article Title	Surgical strategy for complex perineal small bowel fistula after pelvic malignancy: An etiology-driven approach
Manuscript Source	Unsolicited Manuscript
All Author List	Tian-Qi Wu, Jin-Fa Yang, Li He, Ren-Yuan Gao, Shi-Lin Wang, Bo-Ran Pang, Fang-Tao Wang, Lu Yin, Chun-Qiu Chen and Xiao-Cai Wu
Funding Agency and Grant Number	Funding Agency Grant Number Excellent Young Physician Training Program of Shanghai Tenth People’s Hospital 2018SYPDRC043 National Natural Science Foundation of China 82403215 National Natural Science Foundation of China 82470555
Corresponding Author	Xiao-Cai Wu, MD, PhD, Department of Difficult Abdominal Surgery, Diagnostic and Treatment Center for Refractory Diseases of Abdomen Surgery, Shanghai Tenth People’s Hospital, Tongji University School of Medicine, No. 301 Yanchang Middle Road, Jing’an District, Shanghai 200072, China. wuxiaocai@tongji.edu.cn
Key Words	Perineal small bowel fistula; Empty pelvis syndrome; Radiation enteritis; Internal intestinal plication; Pelvic exenteration
Core Tip	This study evaluated an etiology-driven algorithm for repairing perineal small bowel fistulas. By customizing surgical interventions - such as pelvic floor reconstruction and intestinal plication - to the underlying mechanisms of the fistula, researchers achieve a successful closure rate of 89.3% in high-risk patients with a history of pelvic cancer.
Citation	Wu TQ, Yang JF, He L, Gao RY, Wang SL, Pang BR, Wang FT, Yin L, Chen CQ, Wu XC. Surgical strategy for complex perineal small bowel fistula after pelvic malignancy: An etiology-driven approach. World J Gastrointest Surg 2026; In press DOI: https://doi.org/10.4240/wjgs.120918
PDF	120918-in-press.pdf

Received	2026-03-13 02:37
Peer-Review Started	2026-03-13 02:38
First Decision by Editorial Office Director	2026-06-02 11:46
Return for Revision	2026-06-02 13:04
Revised	2026-06-18 08:26
Publication Fee Transferred	2026-06-24 11:59
Second Decision by Editor	2026-07-14 02:44
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-07-14 06:44
Articles in Press	2026-07-14 06:44
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	© Author(s) (or their employer(s)) 2026. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
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