Wu QF, Huang ZQ, Yu ZH, Li JT, Huang L. Impact of prior abdominal surgery on post-polypectomy complications following endoscopic mucosal resection and endoscopic submucosal dissection. World J Gastrointest Surg 2026; 18(3): 114720 [DOI: 10.4240/wjgs.v18.i3.114720]
Corresponding Author of This Article
Lan Huang, MD, Department of Gastroenterology, Jiujiang City Key Laboratory of Cell Therapy, Jiujiang No. 1 People’s Hospital, No. 48 Taling South Road, Xunyang District, Jiujiang 332000, Jiangxi Province, China. lanny0701@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Cohort Study
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This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
Mar 27, 2026 (publication date) through Mar 30, 2026
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Publication Name
World Journal of Gastrointestinal Surgery
ISSN
1948-9366
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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
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Wu QF, Huang ZQ, Yu ZH, Li JT, Huang L. Impact of prior abdominal surgery on post-polypectomy complications following endoscopic mucosal resection and endoscopic submucosal dissection. World J Gastrointest Surg 2026; 18(3): 114720 [DOI: 10.4240/wjgs.v18.i3.114720]
World J Gastrointest Surg. Mar 27, 2026; 18(3): 114720 Published online Mar 27, 2026. doi: 10.4240/wjgs.v18.i3.114720
Impact of prior abdominal surgery on post-polypectomy complications following endoscopic mucosal resection and endoscopic submucosal dissection
Qin-Fang Wu, Zhi-Quan Huang, Zhi-Hong Yu, Jiang-Tao Li, Lan Huang
Qin-Fang Wu, Zhi-Quan Huang, Zhi-Hong Yu, Jiang-Tao Li, Lan Huang, Department of Gastroenterology, Jiujiang City Key Laboratory of Cell Therapy, Jiujiang No. 1 People’s Hospital, Jiujiang 332000, Jiangxi Province, China
Co-corresponding authors: Jiang-Tao Li and Lan Huang.
Author contributions: Wu QF and Huang ZQ conceived and designed the study; Yu ZH and Wu QF collected and analyzed the data; Wu QF contributed to draft of the first manuscript; Li JT and Huang L supervised the study, provided critical revisions, approved the final version of the manuscript, and they contributed equally to this manuscript and are co-corresponding authors. All the authors have read and approved the final version of the manuscript.
Supported by Jiujiang Basic Research Program, No. S2024KXJJ0001.
Institutional review board statement: This study has been reviewed and approved by the Ethics Committee of Jiujiang No. 1 People’s Hospital, Approval No.[2023] Medical Ethics Review No. 1014.
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.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: No data available.
Corresponding author: Lan Huang, MD, Department of Gastroenterology, Jiujiang City Key Laboratory of Cell Therapy, Jiujiang No. 1 People’s Hospital, No. 48 Taling South Road, Xunyang District, Jiujiang 332000, Jiangxi Province, China. lanny0701@163.com
Received: October 31, 2025 Revised: November 30, 2025 Accepted: January 14, 2026 Published online: March 27, 2026 Processing time: 147 Days and 4 Hours
Core Tip
Core Tip: Prior abdominal surgery (PAS) is an independent risk factor for polypectomy complications after endoscopic mucosal resection and endoscopic submucosal dissection. This retrospective cohort study of 80 patients demonstrated that PAS increased technical difficulty, prolonged procedure time, and elevates rates of bleeding, perforation, infection, and post-procedural pain. Larger and multiple polyps, the endoscopic submucosal dissection modality, and hemoclip use further contribute to the risk of complications. Preoperative recognition of PAS status can guide individualized risk stratification, optimize procedural planning, and inform perioperative management strategies, ultimately improving patient safety and clinical outcomes in colorectal polypectomies.
