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The results suggest fiber can modulate gut communities and aid recovery, while highlighting the need for prospective randomized trials to define optimal fiber type, dose, and duration. The discussion frames fiber as microbiota-targeted nutrition for personalized postoperative care.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/dietary-fiber-as-a-microbiota-modulating-strategy-after-endoscopic-mucosa-resection-a-new-frontier-in-postoperative-care/406721/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/dietary-fiber-as-a-microbiota-modulating-strategy-after-endoscopic-mucosa-resection-a-new-frontier-in-postoperative-care/406721.png","ImageObject",300,407,{"name":42,"@type":43},"Aldword","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-30","2026-09-28",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",8,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What is the main clinical focus of the editorial?","Question",{"text":63,"@type":64},"The editorial focuses on how dietary fiber supplementation may modulate gut microbiota and support postoperative recovery after endoscopic mucosa resection.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What evidence is discussed regarding dietary fiber after EMR?",{"text":68,"@type":64},"It comments on Niu et al’s retrospective study, reporting beneficial effects on gut microbiota restoration following EMR and emphasizing recovery support.",{"name":70,"@type":61,"acceptedAnswer":71},"Why are prospective randomized studies needed?",{"text":72,"@type":64},"Because the editorial underscores the need to determine the optimal fiber type, dose, and duration with higher-quality prospective evidence.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},406721,1790955512,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},"Research & Report",30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":55,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":117,"preview_page_count":4},2336478940917,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","| W | J | G | S | World Journal of\u003Cbr>Gastrointestinal Surgery |\n| --- | --- | --- | --- | --- |\n\nSubmit a Manuscript: [https://www.f6publishing.com](https://www.f6publishing.com) World J Gastrointest Surg 2025 December 27; 17(12): 110619  \nDOI: 10.4240/wjgs.v17.i12.110619 ISSN 1948-9366 (online)  \nEDITORIAL  \nDietary fiber as a microbiota-modulating strategy after endoscopic mucosa resection: A new frontier in postoperative care  \nDuygu Kirkik, Betul Dogantekin, Sevgi Kalkanli Tas, Burak Sarikaya  \nSpecialty type: Gastroenterology and hepatology  \nProvenance and peer review:  \nInvited article; Externally peer reviewed.  \nPeer-review model: Single blind  \nPeer-review report’s classification Scientific Quality: Grade B, Grade B, Grade B, Grade B, Grade C Novelty: Grade B, Grade B, Grade C, Grade C, Grade C  \nCreativity or Innovation: Grade B, Grade B, Grade C, Grade C, Grade C  \nScientific Significance: Grade B, Grade C, Grade C, Grade C, Grade C  \nP-Reviewer: Li B, PhD, Professor, China; Ren L, PhD, China; Zhou HX, PhD, Assistant Professor, Post Doctoral Researcher, China  \nReceived: June 13, 2025  \nRevised: July 30, 2025  \nAccepted: September 11, 2025  \nPublished online: December 27, 2025  \nProcessing time: 196 Days and 0 Hours  \nDuygu Kirkik, Sevgi Kalkanli Tas, Department of Immunology, Hamidiye Medicine Faculty, University of Health Sciences, Istanbul 34668, Türkiye  \nDuygu Kirkik, Department of Medical Biology, Hamidiye Medicine Faculty, University of Health Sciences, Istanbul 34668, Türkiye  \nBetul Dogantekin, Internal Medicine, University of Health Sciences, Sultan 2 Abdulhamid Han Training and Research Hospital, Istanbul 34668, Türkiye  \nBurak Sarikaya, Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Sultan 2 Abdulhamid Han Training and Research Hospital, Istanbul 34668, Turkiye  \nCorresponding author: Duygu Kirkik, Assistant Professor, Department of Immunology, Hamidiye Medicine Faculty, University of Health Sciences, No. 38 Tıbbiye Cad, Mekteb-i Tıbbiye-i Şâhane (Haydarpaşa), Külliyesi Selimiye Mah, Istanbul 34668, Türkiye.  \n[dygkirkik@gmail.com](dygkirkik@gmail.com)  \nAbstract  \nEmerging evidence underscores the critical role of intestinal microbiota in postoperative recovery and long-term outcomes of gastrointestinal procedures. In this editorial, we comment on the retrospective study by Niu et al, which highlights the beneficial impact of dietary fiber supplementation on gut microbiota restoration following endoscopic mucosa resection. The findings highlight the potential of fiber supplementation to modulate gut microbiota and support recovery following endoscopic mucosa resection. Nonetheless, we also emphasize the need for prospective, randomized studies to delineate the optimal type, dose, and duration of fiber supplementation. This research represents a significant step toward evidence-based nutritional interventions in minimally invasive gastrointestinal surgery and underscores the importance of microbiota-targeted therapies in personalized postoperative care.  \nKey Words: Gut microbiota; Dietary fiber; Endoscopic mucosal resection; Short-chain fatty acids; Mucosal healing; Precision nutrition  \n©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.  \n WJGS  [https://www.wjgnet.com](https://www.wjgnet.com) 1 December 27, 2025  Volume 17  Issue 12   \nKirkik D et al. Dietary fiber and microbiota modulation after EMR  \nCore Tip: This study highlights the novel role of dietary fiber as a microbiota-targeted therapy in patients undergoing endoscopic mucosal resection. By restoring microbial diversity and enhancing barrier integrity, fiber supplementation offers a non-invasive, immunologically informed approach to optimize postoperative recovery. The discussion findings underscore the need for precision nutrition strategies tailored to individual microbial and immune profiles to reduce complications and improve long-term gastrointestinal ","cbCaisjuhfhvdmbA","https://ap.wps.com/l/cbCaisjuhfhvdmbA","pdf",465271,"English","# Editorial\n## Abstract\n## Key Words\n## Core Tip\n## Introduction\n## Mucosal barrier and microbiota changes after EMR","[{\"question\":\"What is the main clinical focus of the editorial?\",\"answer\":\"The editorial focuses on how dietary fiber supplementation may modulate gut microbiota and support postoperative recovery after endoscopic mucosa resection.\"},{\"question\":\"What evidence is discussed regarding dietary fiber after EMR?\",\"answer\":\"It comments on Niu et al’s retrospective study, reporting beneficial effects on gut microbiota restoration following EMR and emphasizing recovery support.\"},{\"question\":\"Why are prospective randomized studies needed?\",\"answer\":\"Because the editorial underscores the need to determine the optimal fiber type, dose, and duration with higher-quality prospective evidence.\"}]","Dietary fiber as a microbiota-modulating strategy after endoscopic mucosa resection: A new frontier in postoperative care | PDF",1790567530]