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©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Feb 28, 2026; 32(8): 115297
Published online Feb 28, 2026. doi: 10.3748/wjg.v32.i8.115297
Bridging innovation and clinical reality: Interpreting the comparative study of deep learning models for multi-class upper gastrointestinal disease segmentation
Yu-Han Yang
Yu-Han Yang, West China Hospital, Sichuan University, Chengdu 6100041, Sichuan Province, China
Author contributions: Yang YH contributed to conceptualization, writing-original draft preparation, writing-review & editing; Yang YH read and approved the final manuscript and agree to be accountable for all aspects of the work.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Corresponding author: Yu-Han Yang, MD, West China Hospital, Sichuan University, No. 17 People's South Road, Chengdu 6100041, Sichuan Province, China. yyh_1023@163.com
Received: October 15, 2025
Revised: November 22, 2025
Accepted: January 4, 2026
Published online: February 28, 2026
Processing time: 121 Days and 1.5 Hours
Core Tip

Core Tip: This study evaluates 17 advanced deep learning models, including convolutional neural network-, transformer-, and mamba-based architectures, for multi-class upper gastrointestinal disease segmentation. Swin-UMamba achieves the highest segmentation accuracy, while SegFormer balances efficiency and performance. Automated segmentation demonstrates significant clinical value by improving diagnostic precision, reducing missed diagnoses, streamlining treatment planning, and easing physician workload. Key challenges include lighting variability, vague lesion boundaries, multi-label complexities, and dataset limitations. Future directions, such as multi-modal learning, self-supervised techniques, spatio-temporal modeling, and rigorous clinical validation, are essential to enhance model robustness and ensure applicability in diverse healthcare settings for better patient outcomes.