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World J Gastrointest Surg. Aug 27, 2026; 18(8): 117895
Published online Aug 27, 2026. doi: 10.4240/wjgs.117895
Published online Aug 27, 2026. doi: 10.4240/wjgs.117895
Effect of enhanced recovery after surgery-based early mobilization on gastrointestinal recovery after intestinal tuberculosis surgery
Xia-Nan Li, Juan-Min Xue, Senior Department of Tuberculosis, Chinese PLA General Hospital, Beijing 100091, China
Cai-Xia Zhang, Department of Outpatient and Day Care Unit, The Eighth Medical Center of Chinese PLA General Hospital, Beijing 100091, China
Qian He, Department of General Surgery, The Eighth Medical Center of Chinese PLA General Hospital, Beijing 100091, China
Co-first authors: Xia-Nan Li and Cai-Xia Zhang.
Co-corresponding authors: Qian He and Juan-Min Xue.
Author contributions: Li XN and Zhang CX are co-first authors. Li XN designed the study, performed statistical analysis, and drafted the manuscript; Zhang CX coordinated data collection and contributed to manuscript writing, and provided surgical expertise and critically revised the manuscript; He Q assisted with data curation, participated in the interpretation of surgical outcomes, and reviewed the manuscript for important intellectual content; Xue JM supervised the study and approved the final version. He Q and Xue JM are co-corresponding authors.
Institutional review board statement: This study was approved by the Ethics Committee of Chinese PLA General Hospital (Eighth Medical Center) (Approval No. S-2026-006-01) and conducted in accordance with the Declaration of Helsinki.
Informed consent statement: The requirement for written informed consent was waived by the Ethics Committee due to the retrospective design of the study. All data were anonymized prior to analysis.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The datasets used and/or analyzed during the current study are available from the corresponding author upon reasonable request.
Corresponding author: Juan-Min Xue, MD, Senior Department of Tuberculosis, Chinese PLA General Hospital, No. 17 Heishanhu Road, Haidian District, Beijing 100091, China.
Received: January 27, 2026
Revised: March 1, 2026
Accepted: April 7, 2026
Published online: August 27, 2026
Processing time: 201 Days and 0.5 Hours
Revised: March 1, 2026
Accepted: April 7, 2026
Published online: August 27, 2026
Processing time: 201 Days and 0.5 Hours
Core Tip
Core Tip: This study provides the first evidence supporting the safety and effectiveness of enhanced recovery after surgery-based early mobilization in intestinal tuberculosis surgery. Despite the unique challenges of chronic inflammation, malnutrition, and anastomotic healing concerns in this population, the structured early mobilization protocol significantly accelerated gastrointestinal function recovery, improved functional status, and reduced pain without increasing complications, suggesting that enhanced recovery after surgery principles can be safely extended to infectious gastrointestinal surgical pathologies.