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Publication Name World Journal of Gastroenterology
Manuscript ID 121904
DOI 10.3748/wjg.121904
Country China
Category Gastroenterology & Hepatology
Manuscript Type Observational Study
Article Title Endoscopic score predicting recurrence after foam sclerotherapy in grade I internal hemorrhoids: Development and external validation
Manuscript Source Unsolicited Manuscript
All Author List Fei-Yu Zhang, Lei-Ming Xu, Feng-Yu Gao, Wen Wang, Wu-Lian Lin, Hao Zhang, Ke-Zhou Wang, Qing-Jing Wang, Ao-Jia Jin, Ru-Ping Yang, Chun-Ying Qu, Yi Zhang, Zheng-Hong Li, Dou Wang, Cui-Cui Shi, Tian-Ben Shen, Fei Shen, Ye Hu and Feng Shen
Funding Agency and Grant Number
Funding Agency Grant Number
Discipline Peak-Climbing Plan of Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine No. XKPF2024B400
Shanghai Science and Technology Commission Innovation Ecosystem Construction Plan ‘Domestic Science and Technology Cooperation’ Project No. 25010702300
National Natural Science Foundation of China No. 82472899
Corresponding Author Feng Shen, Chief Physician, MD, Department of Gastroenterology and Endoscopy, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, No. 1665 Kongjiang Road, Shanghai 200092, China. shenfeng01@xinhuamed.com.cn
Key Words Grade I internal hemorrhoids; Foam sclerotherapy; Recurrence; Prediction model; Endoscopy
Core Tip In this prospective multicenter study, we developed and externally evaluated Endoscopic Hemorrhoid Recurrence Score (Endo-HRS), a weighted continuous score based on sex, number of hemorrhoids, maximum hemorrhoid diameter, and red color sign grade. The model showed good discrimination in the development and external cohorts, and a nomogram estimates individual 36-month recurrence probability. Exploratory endoscopic and histopathological findings supported biological plausibility. Endo-HRS may aid risk stratification, although prospective impact studies are required before it is used to direct surveillance or retreatment.
Citation Zhang FY, Xu LM, Gao FY, Wang W, Lin WL, Zhang H, Wang KZ, Wang QJ, Jin AJ, Yang RP, Qu CY, Zhang Y, Li ZH, Wang D, Shi CC, Shen TB, Shen F, Hu Y, Shen F. Endoscopic score predicting recurrence after foam sclerotherapy in grade I internal hemorrhoids: Development and external validation. World J Gastroenterol 2026; In press
PDF 121904-in-press.pdf
Received
2026-04-07 06:28
Peer-Review Started
2026-04-07 06:38
First Decision by Editorial Office Director
Return for Revision
2026-06-16 08:47
Revised
2026-06-29 15:29
Publication Fee Transferred
2026-07-07 12:10
Second Decision by Editor
2026-07-20 02:35
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-07-20 05:37
Articles in Press
2026-07-20 05:37
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 distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
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