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Publication Name World Journal of Gastrointestinal Surgery
Manuscript ID 122120
DOI 10.4240/wjgs.122120
Country China
Category Gastroenterology & Hepatology
Manuscript Type Observational Study
Article Title Efficacy and safety of Huazhuojiedu decoction in the treatment of gastric precancerous lesions after endoscopic submucosal dissection
Manuscript Source Unsolicited Manuscript
All Author List Ying-Jie Si, Ning-Ning Ren, Jian-Yun Wang, Xin-Yu Hao, Zai-Jian Wang, Hui-Xia Li, Xue-Feng Ge, Jing An, Xiao-Shuang Shi, Tian Shen, Jie Liang, Xiao-Jing Ouyang, Xin-Yue Wang and Yan-Gang Wang
Funding Agency and Grant Number
Funding Agency Grant Number
National Natural Science Foundation of China No. 82575015
Beijing Natural Science Foundation No. 7232281
Beijing University of Chinese Medicine Project No. 2025-JYB-JBGS-001
Beijing University of Chinese Medicine Third Affiliated Hospital New Drug Research and Development Projects No. 2025-YJKT-XYYF-02
Corresponding Author Yan-Gang Wang, Department of Gastroenterology and Hepatology, Beijing University of Chinese Medicine Third Affiliated Hospital, 2nd Floor North Wing of the Ward Building, No. 51 Andingmenwai Xiaoguan Street, Chaoyang District, Beijing 100029, China. wangyangang1979@163.com
Key Words Huazhuojiedu decoction; Early gastric cancer; Endoscopic submucosal dissection; Gastric precancerous lesions; Integrated traditional and Western Medicine
Core Tip Huazhuojiedu decoction combined with conventional Western therapy significantly improves histopathological outcomes in patients with gastric precancerous lesions after endoscopic submucosal dissection. This study demonstrates enhanced reversal and improvement rates, better gastric function (pepsinogen I, the pepsinogen I/II ratio, gastrin-17), and reduced inflammatory cytokines (interleukin-6, interleukin-8, tumour necrosis factor-α). Importantly, the combination therapy is associated with a lower incidence of metachronous gastric cancer and reduced progression of precancerous lesions during follow-up. The findings suggest that Huazhuojiedu decoction may exert protective effects through anti-inflammatory and multi-target regulatory mechanisms, offering a promising integrative strategy for post-endoscopic submucosal dissection management, although further randomized controlled trials are required for confirmation.
Citation Si YJ, Ren NN, Wang JY, Hao XY, Wang ZJ, Li HX, Ge XF, An J, Shi XS, Shen T, Liang J, Ouyang XJ, Wang XY, Wang YG. Efficacy and safety of Huazhuojiedu decoction in the treatment of gastric precancerous lesions after endoscopic submucosal dissection. World J Gastrointest Surg 2026; In press
PDF 122120-in-press.pdf
Received
2026-05-22 11:12
Peer-Review Started
2026-05-22 11:12
First Decision by Editorial Office Director
2026-06-15 08:04
Return for Revision
2026-06-15 08:04
Revised
2026-07-28 10:00
Publication Fee Transferred
2026-08-08 02:50
Second Decision by Editor
2026-08-14 02:39
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-08-14 09:36
Articles in Press
2026-08-14 09:36
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 1948-9366 (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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