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Advances in Gastroenterological Surgery
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Advances in Gastroenterological Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Gastroenterology & Hepatopancreatobiliary Medicine".

Deadline for manuscript submissions: 30 October 2025 | Viewed by 690

Special Issue Editors

Dr. Alan Biloslavo

E-Mail Website
Guest Editor
Department of General Surgery, Cattinara University Hospital, Azienda Sanitaria Universitaria Giuliano Isontina (ASU GI), Trieste University, Trieste, Italy
Interests: emergency surgery; trauma; open abdomen; ultrasound
Dr. Antonio La Greca

E-Mail Website
Guest Editor
Department of Medical and Surgical Science, Emergency and Trauma Unit, Fondazione Policlinico A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy
Interests: emergency surgery; trauma; vascular access; abdominal wall; negative pressure
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

In 1985, Erich Muhe performed the first laparoscopic cholecystectomy. Since then, we have witnessed a terrific development and spread of technology in the field of surgery. Laparoscopy was just the beginning of a technological revolution now ranging from different surgical minimally invasive techniques to endoscopic and radiology-assisted procedures. Moreover, the boost toward subspecializations has initiated a process where multidisciplinary approaches have become of paramount importance in patient management. As such, technology not only plays a major role (e.g., the application of negative pressure wound therapy (NPWT), ultrasonography and fluorangiography in gastroenterological surgery), but is also part of a strategy including the new concepts of “precision medicine” and “precision surgery” and the recent studies on artificial intelligence.

The Editorial Office of Journal of Clinical Medicine believes that research on advances in the field of gastroenterological surgery represent a great opportunity to improve modern knowledge in a wide spectrum of pathologies, both in elective and emergency surgery.

To facilitate discussion on this topic, the Journal of Clinical Medicine calls for papers for a thematic issue on advances in gastroenterological surgery to be guest-edited by Alan Biloslavo, MD, FACS and Antonio La Greca, MD, FACS. We are seeking submissions of original research that discusses the introduction or the use of new technologies and attitudes in the field of gastroenterological surgery, both in elective and emergency settings.

Dr. Alan Biloslavo
Dr. Antonio La Greca
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • mini-invasive surgery
  • technology
  • artificial intelligence
  • negative pressure
  • indocyanine green
  • ultrasound
  • GE surgery
  • emergency surgery
  • precision surgery

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Published Papers (2 papers)

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21 pages, 599 KiB  
Review
Radiomics Beyond Radiology: Literature Review on Prediction of Future Liver Remnant Volume and Function Before Hepatic Surgery
by Fabrizio Urraro, Giulia Pacella, Nicoletta Giordano, Salvatore Spiezia, Giovanni Balestrucci, Corrado Caiazzo, Claudio Russo, Salvatore Cappabianca and Gianluca Costa
J. Clin. Med. 2025, 14(15), 5326; https://doi.org/10.3390/jcm14155326 - 28 Jul 2025
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Abstract
Background: Post-hepatectomy liver failure (PHLF) is the most worrisome complication after a major hepatectomy and is the leading cause of postoperative mortality. The most important predictor of PHLF is the future liver remnant (FLR), the volume of the liver that will remain after [...] Read more.
Background: Post-hepatectomy liver failure (PHLF) is the most worrisome complication after a major hepatectomy and is the leading cause of postoperative mortality. The most important predictor of PHLF is the future liver remnant (FLR), the volume of the liver that will remain after the hepatectomy, representing a major concern for hepatobiliary surgeons, radiologists, and patients. Therefore, an accurate preoperative assessment of the FLR and the prediction of PHLF are crucial to minimize risks and enhance patient outcomes. Recent radiomics and deep learning models show potential in predicting PHLF and the FLR by integrating imaging and clinical data. However, most studies lack external validation and methodological homogeneity and rely on small, single-center cohorts. This review outlines current CT-based approaches for surgical risk stratification and key limitations hindering clinical translation. Methods: A literature analysis was performed on the PubMed Dataset. We reviewed original articles using the subsequent keywords: [(Artificial intelligence OR radiomics OR machine learning OR deep learning OR neural network OR texture analysis) AND liver resection AND CT]. Results: Of 153 pertinent papers found, we underlined papers about the prediction of PHLF and about the FLR. Models were built according to machine learning (ML) and deep learning (DL) automatic algorithms. Conclusions: Radiomics models seem reliable and applicable to clinical practice in the preoperative prediction of PHLF and the FLR in patients undergoing major liver surgery. Further studies are required to achieve larger validation cohorts. Full article
(This article belongs to the Special Issue Advances in Gastroenterological Surgery)
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9 pages, 908 KiB  
Case Report
Intestinal Ischemia Secondary to Blunt Abdominal Trauma in Late Pregnancy: A Case Report of a Rare Complication with Serious Implications
by Marta Domínguez-Moreno, Ana María Ferrete-Araujo, Mónica Marín-Cid, Juan José Egea-Guerrero and Lucas Cerrillos
J. Clin. Med. 2025, 14(16), 5808; https://doi.org/10.3390/jcm14165808 (registering DOI) - 16 Aug 2025
Abstract
Background: Blunt abdominal trauma in pregnancy is a medical emergency with significant maternal-fetal morbidity and mortality. Although rare, intestinal ischemia can occur as a serious abdominal complication following trauma during pregnancy. Case presentation: A 41-year-old woman at 33 weeks and 6 [...] Read more.
Background: Blunt abdominal trauma in pregnancy is a medical emergency with significant maternal-fetal morbidity and mortality. Although rare, intestinal ischemia can occur as a serious abdominal complication following trauma during pregnancy. Case presentation: A 41-year-old woman at 33 weeks and 6 days of gestation was involved in a car accident, as a passenger in the front seat of a vehicle that left the road and overturned. The initial examination revealed severe chest trauma but no immediate signs of abdominal injury. However, the patient’s condition worsened, showing delayed symptoms of gastrointestinal dysfunction, clinical deterioration, and labor onset. Complementary imaging studies did not reveal conclusive findings suggesting complications related to the blunt abdominal trauma. Following a multidisciplinary team’s decision to perform an emergency cesarean section in the maternal-fetal interest, intestinal ischemia secondary to a mesenteric tear was discovered, necessitating intestinal resection and end-to-end anastomosis. Conclusions: Despite being a rare condition often associated with diagnostic delays, in cases of sudden clinical deterioration or maternal hemodynamic instability, immediate multidisciplinary intervention is essential. This approach may allow the early detection of trauma-related complications, reducing potentially preventable deaths and achieving favorable maternal and neonatal outcomes. Full article
(This article belongs to the Special Issue Advances in Gastroenterological Surgery)
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