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World J Gastrointest Oncol. Sep 15, 2026; 18(9): 117864
Published online Sep 15, 2026. doi: 10.4251/wjgo.117864
Published online Sep 15, 2026. doi: 10.4251/wjgo.117864
Effectiveness of a standardized nursing pathway in perioperative care for endoscopic submucosal dissection of gastrointestinal tumors
Xiu-Ying Yang, Han-Feng Lv, Xiao-Leng Wang, Department of Nursing, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu 322000, Zhejiang Province, China
Yi-Xin Zhang, Department of Gastroenterology, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu 322000, Zhejiang Province, China
Author contributions: Yang XY and Lv HF designed the research study; Yang XY, Wang XL and Zhang YX performed the research; Wang XL and Lv HF collected and analyzed the data; Yang XY and Zhang YX has been involved in drafting the manuscript and all authors have been involved in revising it critically for important intellectual content. All authors give final approval of the version to be published. All authors have participated sufficiently in the work to take public responsibility for appropriate portions of the content and agreed to be accountable for all aspects of the work in ensuring that questions related to its accuracy or integrity.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of the Fourth Affiliated Hospital, Zhejiang University School of Medicine, No. K2025310.
Informed consent statement: Individual informed consent was waived by the Ethics Committee due to the retrospective design, minimal risk, and use of de-identified data.
Conflict-of-interest statement: All authors have no conflict of interest related to the manuscript.
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: The experimental data used to support the findings of this study are available from the corresponding author upon request.
Corresponding author: Xiu-Ying Yang, Department of Nursing, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, No. N1 Shangcheng Avenue, Yiwu 322000, Zhejiang Province, China. 8615195@zju.edu.cn
Received: January 30, 2026
Revised: March 3, 2026
Accepted: June 23, 2026
Published online: September 15, 2026
Processing time: 207 Days and 4.9 Hours
Revised: March 3, 2026
Accepted: June 23, 2026
Published online: September 15, 2026
Processing time: 207 Days and 4.9 Hours
Core Tip
Core Tip: This retrospective cohort study evaluated the efficacy of a standardized nursing pathway (SNP) in the perioperative care of patients undergoing endoscopic submucosal dissection (ESD) for gastrointestinal tumors. Compared with routine nursing, the SNP group demonstrated significantly shorter hospital stay, lower costs, reduced complication rates, and decreased postoperative anxiety and pain. Additionally, patient satisfaction with nursing care was markedly higher. These findings indicate that implementing a SNP optimizes clinical outcomes, enhances recovery, and improves the overall quality of care in ESD procedures.