Evidence map›Paper›PMID 41876505›Full record

ArticleNature communications2026

Acid-tolerant injectable bioadhesive for sutureless repair of large gastric perforation.

Ze Wang, Bo Cao, Longsong Li, Hao Cui, Bo Wei, Jianxin Cui, Xing Wang

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ze Wang *Department of General Surgery, The First Medical Center, Chinese PLA General Hospital, Beijing, China.ORCID http://orcid.org/0009-0007-1732-3892
Bo Cao *Department of General Surgery, The First Medical Center, Chinese PLA General Hospital, Beijing, China.
Longsong Li *Department of Gastroenterology, The First Medical Center, Chinese PLA General Hospital, Beijing, China.
Hao CuiDepartment of General Surgery, The First Medical Center, Chinese PLA General Hospital, Beijing, China.
Bo WeiDepartment of General Surgery, The First Medical Center, Chinese PLA General Hospital, Beijing, China. weibo@301hospital.com.cn.
Jianxin CuiDepartment of General Surgery, The First Medical Center, Chinese PLA General Hospital, Beijing, China. cuijx_doctor@163.com.
Xing WangBeijing National Laboratory for Molecular Sciences, Institute of Chemistry, Chinese Academy of Sciences, Beijing, China. wangxing@iccas.ac.cn.ORCID http://orcid.org/0000-0003-3926-1999

Funding

Beijing Nova Program 2024048519National Natural Science Foundation of China (National Science Foundation of China) 52573186, 52373162, 82572862Natural Science Foundation of Beijing Municipality (Beijing Natural Science Foundation) F252056, L256034, L244037, 7262018
6 · The paper itself

Abstract

Bioadhesives represent promising alternatives to sutures towards gastric perforation management, however, significant challenges persist concerning instant wet adhesion and durable stability in gastric perforation sealing, particularly in direct contacting with acidic gastric fluids on large perforation injuries. Here we report an injectable acid-tolerant hydrogel composed of FDA-approved components for sutureless repair of large gastric defects. The hydrogel displays rapid in situ gelation, instant wet adhesion, and high burst pressure for efficient sealing despite excessive mechanical challenges, tissue irregularities and gastric juices. The enhanced hydrogen bonding interactions among amide-linked skeleton enable robust acid-tolerant interfaces to accommodate durable adhesion under the fluidically, chemically and mechanically dynamic in-vivo environments. A larger-scale porcine gastric perforation is applied to validate the sealing efficacy via a combined laparoscopic-endoscopic technique. The negligible postoperative adhesion, suppressed inflammation and interference-free transcriptome and microbiome verify the therapeutic outcomes. The proposed bioadhesives hold great promise for clinical treatment of digestive diseases.

Indexed as

HydrogelsStomachSutureless Surgical ProceduresTissue AdhesivesAnimalsInjectionsLaparoscopySwineHydrogelsTissue Adhesives

Identifiers

PMID41876505
PMCPMC13172332

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.