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  • Open Access

    ARTICLE

    Clostridium butyricum MIYAIRI 588 Reduces Colorectal Adenomatous Polyp Recurrence: A Randomized Crossover Trial

    Jiunn-Wei Wang1,2,3, Wen-Hung Hsu2,3,4, Fang-Jung Yu2,3, Fu-Chen Kuo5, Chung-Jung Liu3,6, Chao-Hung Kuo1,2,3, Jaw-Yuan Wang7,8, Ming-Hong Lin9,*, Deng-Chyang Wu1,2,3,*

    Oncology Research, Vol.33, No.12, pp. 3907-3922, 2025, DOI:10.32604/or.2025.070432 - 27 November 2025

    Abstract Objectives: Colorectal adenomatous polyps frequently recur after removal and are precursors to colorectal cancer, highlighting the need for effective preventive strategies. This study evaluated the efficacy of probiotic Clostridium butyricum MIYAIRI 588 (CBM588) in preventing colorectal adenoma recurrence in high-risk patients. Methods: We conducted a randomized, single-blind, two-year crossover trial in patients with a history of adenomatous polyps. Participants received CBM588 in either the first or second year, with the alternate year as observation, and underwent annual surveillance colonoscopies. Outcomes (adenoma recurrence and polyp counts) were analyzed by intention-to-treat (ITT) and per-protocol (PP) approaches. Results: A total… More >

  • Open Access

    ARTICLE

    Multi-Classification of Polyps in Colonoscopy Images Based on an Improved Deep Convolutional Neural Network

    Shuang Liu1,2,3, Xiao Liu1, Shilong Chang1, Yufeng Sun4, Kaiyuan Li1, Ya Hou1, Shiwei Wang1, Jie Meng5, Qingliang Zhao6, Sibei Wu1, Kun Yang1,2,3,*, Linyan Xue1,2,3,*

    CMC-Computers, Materials & Continua, Vol.75, No.3, pp. 5837-5852, 2023, DOI:10.32604/cmc.2023.034720 - 29 April 2023

    Abstract Achieving accurate classification of colorectal polyps during colonoscopy can avoid unnecessary endoscopic biopsy or resection. This study aimed to develop a deep learning model that can automatically classify colorectal polyps histologically on white-light and narrow-band imaging (NBI) colonoscopy images based on World Health Organization (WHO) and Workgroup serrAted polypS and Polyposis (WASP) classification criteria for colorectal polyps. White-light and NBI colonoscopy images of colorectal polyps exhibiting pathological results were firstly collected and classified into four categories: conventional adenoma, hyperplastic polyp, sessile serrated adenoma/polyp (SSAP) and normal, among which conventional adenoma could be further divided into… More >

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