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Articles Published Processes
2/26/2026 10:19:31 AM | Browse: 3 | Download: 1
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Received |
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2025-11-02 11:49 |
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Peer-Review Started |
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2025-11-02 11:49 |
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First Decision by Editorial Office Director |
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2025-11-14 04:46 |
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Return for Revision |
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2025-11-14 04:46 |
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Revised |
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2025-11-18 19:40 |
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Publication Fee Transferred |
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Second Decision by Editor |
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2025-12-11 02:46 |
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Second Decision by Editor-in-Chief |
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Final Decision by Editorial Office Director |
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2025-12-11 05:56 |
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Articles in Press |
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2025-12-11 05:56 |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2026-02-05 03:22 |
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Publish the Manuscript Online |
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2026-02-26 10:19 |
| 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: https://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. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Surgery |
| Manuscript Type |
Opinion Review |
| Article Title |
Beyond stapled transanal rectal resection vs ventral rectopexy dichotomy: Toward a phenotype-guided surgical paradigm for obstructed defecation syndrome
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| Manuscript Source |
Invited Manuscript |
| All Author List |
Michele Schiano di Visconte and Sonia Sarnari |
| ORCID |
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| Funding Agency and Grant Number |
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| Corresponding Author |
Michele Schiano di Visconte, Chief, MD, PhD, Colorectal and Pelvic Floor Diseases Center, Department of General Surgery, Azienda ULSS2 “Marca Trevigiana”, Via Sant’Ambrogio in Fiera 37, Treviso 31100, Veneto, Italy. mschianodivisconte@gmail.com |
| Key Words |
Obstructed defecation syndrome; Stapled transanal rectal resection; Ventral rectopexy; Phenotype-guided surgery; Pelvic floor disorders; Multidisciplinary management; Functional constipation; Patient stratification |
| Core Tip |
The management of obstructed defecation syndrome must evolve beyond the suboptimal dichotomy of stapled transanal rectal resection vs ventral rectopexy. This review advocates for a fundamental paradigm shift toward a phenotype-guided stratified treatment algorithm. Mandatory preoperative phenotyping, integrating advanced imaging and high-resolution anorectal manometry, is crucial for classifying patients into distinct structural and functional subtypes. This personalized approach optimizes patient selection and yields superior, durable functional outcomes, thereby establishing a new framework for precision pelvic floor surgery. |
| Publish Date |
2026-02-26 10:19 |
| Citation |
Schiano di Visconte M, Sarnari S. Beyond stapled transanal rectal resection vs ventral rectopexy dichotomy: Toward a phenotype-guided surgical paradigm for obstructed defecation syndrome. World J Gastrointest Surg 2026; 18(2): 116100 |
| URL |
https://www.wjgnet.com/1948-9366/full/v18/i2/116100.htm |
| DOI |
https://dx.doi.org/10.4240/wjgs.v18.i2.116100 |
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