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World J Gastrointest Surg. Apr 27, 2026; 18(4): 116655
Published online Apr 27, 2026. doi: 10.4240/wjgs.v18.i4.116655
Published online Apr 27, 2026. doi: 10.4240/wjgs.v18.i4.116655
Effect of modified Da-Cheng-Qi decoction on stoma reversal and postoperative ileus after laparoscopic anterior resection
Xiu-Yuan Cheng, Department of Traditional Chinese Medicine, First Clinical Medical College, Yunnan University of Chinese Medicine and Yunnan University of Chinese Medicine, Kunming 650500, Yunnan Province, China
Xiu-Yuan Cheng, Tao Chen, Department of Traditional Chinese Medicine, Yunnan Provincial Hospital of Traditional Chinese Medicine, Kunming 650000, Yunnan Province, China
Author contributions: Cheng XY designed the study, collected and analyzed the data, and drafted the manuscript; Chen T supervised the project, selected cases, and critically revised the paper.
Institutional review board statement: The study was reviewed and approved by the Ethics Committee of the First Affiliated Hospital of Yunnan University of Chinese Medicine (Yunnan Provincial Hospital of Traditional Chinese Medicine), approval No. 2025-115.
Informed consent statement: The requirement for written informed consent was waived by the First Affiliated Hospital of Yunnan University of Chinese Medicine (Yunnan Provincial Hospital of Traditional Chinese Medicine) due to the retrospective nature of the study and the use of anonymized clinical data.
Conflict-of-interest statement: The authors declare that there are no conflicts of interest related to this study.
Data sharing statement: The datasets generated and analyzed during the current study are available from the corresponding author upon reasonable request.
Corresponding author: Tao Chen, Department of Traditional Chinese Medicine, Yunnan Provincial Hospital of Traditional Chinese Medicine, No. 120 Guanghua Street, Kunming 650000, Yunnan Province, China. 18588645982@163.com
Received: December 5, 2025
Revised: January 15, 2026
Accepted: February 3, 2026
Published online: April 27, 2026
Processing time: 139 Days and 22.5 Hours
Revised: January 15, 2026
Accepted: February 3, 2026
Published online: April 27, 2026
Processing time: 139 Days and 22.5 Hours
Core Tip
Core Tip: This study demonstrates that modified Da-Cheng-Qi decoction significantly shortens stoma reversal time and reduces postoperative ileus after laparoscopic anterior resection for colorectal cancer. By promoting gastrointestinal motility, regulating gastrointestinal hormones, and attenuating postoperative inflammation, the modified formula accelerates bowel recovery and improves patients’ nutritional status and quality of life. The study highlights the value of integrating traditional Chinese medicine with enhanced recovery pathways and identifies the decoction as an independent factor associated with earlier stoma closure.