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©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jan 27, 2026; 18(1): 113894
Published online Jan 27, 2026. doi: 10.4240/wjgs.v18.i1.113894
Published online Jan 27, 2026. doi: 10.4240/wjgs.v18.i1.113894
Dynamic ultrasound monitoring of intraperitoneal effusion for predicting complications after laparoscopic gastrectomy
Xing-Xing Gao, Department of Ultrasound, Shangrao Municipal Hospital, Shangrao 334000, Jiangxi Province, China
Sheng-Hui Su, Department of Ultrasound Medicine, Shangrao Municipal Hospital, Shangrao 334000, Jiangxi Province, China
Dan-Dan Huang, Physical Examination Center, Shangrao Municipal Hospital, Shangrao 334000, Jiangxi Province, China
Author contributions: Gao XX was responsible for the overall research design; Gao XX and Su SH provided support in experimental design, offering technical assistance; Su SH and Huang DD guided the overall direction of the study and revisions of the manuscript; Gao XX, Su SH, and Huang DD contributed to data collection and analysis, discussion of results; experiment implementation, and manuscript writing. All authors have read and approved the final manuscript.
Institutional review board statement: This study has been approved for review by the Ethics Committee of Shangrao Municipal Hospital.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
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/
Corresponding author: Xing-Xing Gao, MD, Department of Ultrasound, Shangrao Municipal Hospital, No. 182 Wusan Avenue, Shangrao 334000, Jiangxi Province, China.
Received: September 28, 2025
Revised: October 28, 2025
Accepted: December 3, 2025
Published online: January 27, 2026
Processing time: 115 Days and 1.5 Hours
Revised: October 28, 2025
Accepted: December 3, 2025
Published online: January 27, 2026
Processing time: 115 Days and 1.5 Hours
Core Tip
Core Tip: Dynamic transabdominal ultrasound monitoring provides an effective, noninvasive approach to assess the evolution of intraperitoneal effusion after laparoscopic gastrectomy. This study demonstrates that ultrasound-detected mixed effusion and elevated inflammatory markers, particularly procalcitonin on postoperative day 3, are strong predictors of infectious complications. Focused ultrasonography within 72 hours after surgery allows for timely detection and inter