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CASE REPORT article

Front. Oncol.

Sec. Surgical Oncology

Volume 15 - 2025 | doi: 10.3389/fonc.2025.1581949

Use of Tiao Wei Cheng Qi Decoction to relieve partial intestinal obstruction and enable surgical treatment in primary duodenal adenocarcinoma: a case report

Provisionally accepted
Ziyao  LiZiyao Li1Jiahang  LiJiahang Li2Boyang  LiBoyang Li1Yingying  SunYingying Sun1Changcheng  WangChangcheng Wang1*
  • 1Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, China
  • 2Chengdu University of Traditional Chinese Medicine, Chengdu, China

The final, formatted version of the article will be published soon.

Primary duodenal adenocarcinoma (PDA) is rare and highly invasive malignancies. The onset of the disease is insidious. Patients are often diagnosed when digestive obstruction occurred, leading to poor nutritional status and reduced tolerance for surgical trauma. Additionally, patients commonly experience fluid depletion and gastric drying, which is recognized as a pattern of gastric dryness and fluid injury. This article presents a successful case treated with the modified Decoction for Regulating the Stomach and Resolving Phlegm Formula combined with partial duodenectomy, summarizes both Chinese and Western medical diagnostic and treatment strategies for this disease, and provides valuable clinical experience in treating it.

Keywords: Primary Duodenal Adenocarcinoma (PDA), Traditional Chinese medicine (TCM), Tiao Wei Cheng Qi Decoction (TWCQD), Preoperative treatment, Gastrointestinal obstruction

Received: 23 Feb 2025; Accepted: 30 Jun 2025.

Copyright: © 2025 Li, Li, Li, Sun and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Changcheng Wang, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China

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