Qian YP, Cai H, Tang SY, Zhou HP, Han Q, Tu HM. Perioperative multidisciplinary nursing model for endoscopic gastric submucosal dissection development and effect evaluation. World J Gastrointest Surg 2026; 18(2): 113441 [DOI: 10.4240/wjgs.v18.i2.113441]
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Feb 27, 2026 (publication date) through Feb 26, 2026
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World Journal of Gastrointestinal Surgery
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1948-9366
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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
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Qian YP, Cai H, Tang SY, Zhou HP, Han Q, Tu HM. Perioperative multidisciplinary nursing model for endoscopic gastric submucosal dissection development and effect evaluation. World J Gastrointest Surg 2026; 18(2): 113441 [DOI: 10.4240/wjgs.v18.i2.113441]
Yu-Ping Qian, Hui Cai, Hong-Ping Zhou, Qian Han, Hui-Ming Tu, Digestive Endoscopy Center, Jiangnan University Affiliated Hospital, Wuxi 214062, Jiangsu Province, China
Shu-Yin Tang, Department of Gastrointestinal Surgery, Jiangnan University Affiliated Hospital, Wuxi 214000, Jiangsu Province, China
Co-corresponding authors: Qian Han and Hui-Ming Tu.
Author contributions: Han Q and Tu HM contributed equally to this manuscript and are co-corresponding authors. Qian YP and Han Q contributed to methodology; Qian YP and Tu HM contributed to project administration; Cai H and Han Q contributed to data curation and validation; Cai H and Zhou HP contributed to investigation; Tang SY and Tu HM contributed to supervision; Qian YP contributed to conceptualization, writing - original draft; Cai H contributed to formal analysis; Tang SY contributed to resources, supervision, writing - review and editing; Zhou HP contributed to visualization, software; Tu HM contributed to funding acquisition.
Institutional review board statement: The study protocol was reviewed and approved by the Medical Ethics Committee of Jiangnan University Affiliated Hospital, No. LS2025036. The research was conducted in accordance with recognized ethical standards, such as the Declaration of Helsinki.
Informed consent statement: Written informed consent was obtained from all individual participants included in the study. Patients were fully informed about the study’s purpose, procedures, potential risks and benefits, and their right to withdraw at any time before agreeing to participate.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Data sharing statement: The datasets generated and/or analyzed during the current study are available from the corresponding author upon reasonable request.
Received: September 3, 2025 Revised: September 29, 2025 Accepted: December 10, 2025 Published online: February 27, 2026 Processing time: 175 Days and 22.4 Hours
Abstract
BACKGROUND
Endoscopic submucosal dissection (ESD) has become the standard endoscopic treatment for early gastric cancer (EGC), offering high en bloc resection and curative resection rates. However, despite its minimally invasive nature, ESD is still associated with potential complications such as bleeding, perforation, and delayed recovery, which can prolong hospital stays and affect patient outcomes. While advancements in digestive endoscopy have improved procedural precision and safety, perioperative care remains a critical factor influencing recovery. Conventional nursing models often lack coordination across specialties and fail to address the comprehensive needs of EGC patients undergoing ESD. In contrast, multidisciplinary team (MDT) approaches have demonstrated efficacy in improving care quality and patient satisfaction in oncology settings. Yet, the application and effectiveness of a structured perioperative MDT nursing model specifically tailored for ESD patients with EGC have not been fully explored. Therefore, developing and validating an evidence-based MDT nursing protocol is essential to optimize perioperative management and enhance clinical outcomes in this patient population.
AIM
To construct ESD for patients with EGC assisted by digestive endoscopy, the perioperative MDT nursing model for ESD treatment was adopted, and its effect was evaluated.
METHODS
A total of 99 patients diagnosed with EGC in our hospital from April 2022 to April 2025 were prospectively selected as the observation group research subjects to receive the MDT nursing mode. Another 99 patients were selected in a 1:1 ratio as the control group to receive the conventional nursing mode. Both groups received ESD treatment. The recovery of intestinal rumbling sounds after surgery, the time of first getting out of bed for activities, the average length of hospital stay, and the satisfaction situation were compared between the two groups.
RESULTS
Intergroup comparisons revealed that the observation group patients had significantly better outcomes in terms of time to bowel sound recovery (12.53 ± 1.21) hours, first time out of bed activity (23.53 ± 2.34) hours, length of hospital stay (6.63 ± 0.46) days, and overall complication rate (3.03%), along with a significantly higher satisfaction rate of 100% compared to 80.81% in the control group (P < 0.05).
CONCLUSION
MDT can significantly promote the recovery of EGC patients after ESD treatment assisted by digestive endoscopy, improve the treatment effect of patients, and increase patient satisfaction. It is worthy of clinical promotion and application.
Core Tip: This study constructed a perioperative multidisciplinary team (MDT) nursing model for patients with early gastric cancer undergoing digestive endoscopy-assisted endoscopic submucosal dissection. Compared to conventional care, the MDT model significantly shortened postoperative bowel sound recovery time, first ambulation time, and hospital stay, while achieving a 100% patient satisfaction rate. The findings demonstrate that the MDT approach optimizes recovery outcomes and enhances the quality of nursing care for early gastric cancer patients, warranting clinical promotion.
