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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Apr 16, 2025; 17(4): 104097
Published online Apr 16, 2025. doi: 10.4253/wjge.v17.i4.104097
Published online Apr 16, 2025. doi: 10.4253/wjge.v17.i4.104097
Endoscopists and endoscopic assistants’ qualifications, but not their biopsy rates, improve gastric precancerous lesions detection rate
Yao Shen, Xiao-Juan Gao, Xiao-Xue Zhang, Jia-Min Zhao, Fei-Fan Hu, Jing-Lue Han, Wen-Ying Tian, Mei Yang, Yun-Fei Wang, Jia-Le Lv, Qiang Zhan, Fang-Mei An, Department of Gastroenterology, Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical Center, Nanjing Medical University, National Clinical Research Center for Digestive Diseases (Xi’an) Jiangsu Branch, Wuxi 214023, Jiangsu Province, China
Co-first authors: Yao Shen and Xiao-Juan Gao.
Co-corresponding authors: Qiang Zhan and Fang-Mei An.
Author contributions: Shen Y and Gao XJ designed the research methodology and statistical framework; Zhang XX, Zhao JM, Hu FF, Han JL, Yang M, and Wang YF performed data curation and validation; Tian WY and Lv JL conducted the statistical analysis and visualization; Zhan Q and An FM acquired funding, provided resources, and supervised the study, and they contributed equally to this manuscript as co-corresponding authors. Shen Y and Gao XJ drafted the original manuscript with equal contribution as co-first authors of this manuscript. All authors participated in critical revision of the manuscript for important intellectual content and approved the final version.
Supported by Jiangsu Science and Technology Project, No. BK20211039; the Top Talent Support Program for Young and Middle-Aged People of the Wuxi Health Committee, No. BJ2023008; the Major Program of Wuxi Medical Center, Nanjing Medical University, No. WMCM202305; the Cohort and Clinical Research Program of Wuxi Medical Center, Nanjing Medical University, No. WMCC202302; the Scientific Research Program of Wuxi Health Commission, No. Z202208; and Wuxi Municipal Health and Health Commission Precision Medicine Project, No. J202104.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of Wuxi People’s Hospital of Nanjing Medical University, No. KY23001.
Informed consent statement: All participants completed the informed consent process prior to participating in the study.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: All data can be obtained from the corresponding author if necessary.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Fang-Mei An, MD, PhD, Department of Gastroenterology, Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical Center, Nanjing Medical University, National Clinical Research Center for Digestive Diseases (Xi’an) Jiangsu Branch, No. 299 Qingyang Road, Liangxi District, Wuxi 214023, Jiangsu Province, China. fangmeian@njmu.edu.cn
Received: December 23, 2024
Revised: February 27, 2025
Accepted: March 24, 2025
Published online: April 16, 2025
Processing time: 116 Days and 1.6 Hours
Revised: February 27, 2025
Accepted: March 24, 2025
Published online: April 16, 2025
Processing time: 116 Days and 1.6 Hours
Core Tip
Core Tip: This study demonstrates that endoscopists and endoscopic assistants with high qualifications, rather than the endoscopist biopsy rate, significantly improve the detection of gastric precancerous lesions (GPLs). Qualified endoscopists showed higher GPLs detection rates, particularly in the gastric cardia, angularis, and body regions. This suggests that a high endoscopist biopsy rate alone is not sufficient for detecting GPLs. Instead, greater emphasis should be placed on improving the qualifications of endoscopists and appropriate collaboration between endoscopists and assistants to perform accurate biopsies. These findings provide valuable insights for developing gastroscopic quality control standards.