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©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jan 27, 2026; 18(1): 114299
Published online Jan 27, 2026. doi: 10.4240/wjgs.v18.i1.114299
Published online Jan 27, 2026. doi: 10.4240/wjgs.v18.i1.114299
Anesthesiologist’s perspective on endoscopic submucosal dissection: Bridging minimally invasive surgery and enhanced recovery after surgery management
Fan Bu, Department of Anesthesiology, Peking Union Medical College Hospital, Beijing 100730, China
Sheng-Yu Zhang, Department of Gastroenterology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
Zi-Jia Liu, Department of Anesthesiology, Chinese Academy of Medical Sciences and Peking Union Medical College Hospital, Beijing 100730, China
Author contributions: Bu F drafted the first version; Zhang SY proposed the initial concept and conducted the literature review; Bu F and Liu ZJ collaborated to revise the draft and finalize the manuscript; and all authors have read and approved the final version of the manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
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: Zi-Jia Liu, MD, Assistant Professor, Associate Chief Physician, Department of Anesthesiology, Chinese Academy of Medical Sciences and Peking Union Medical College Hospital, No. 1 Shuaifuyuan, Beijing 100730, China. liu-zj02@126.com
Received: September 16, 2025
Revised: October 24, 2025
Accepted: December 4, 2025
Published online: January 27, 2026
Processing time: 127 Days and 21.5 Hours
Revised: October 24, 2025
Accepted: December 4, 2025
Published online: January 27, 2026
Processing time: 127 Days and 21.5 Hours
Core Tip
Core Tip: Compared to laparoscopic gastrectomy, endoscopic submucosal dissection (ESD) offers advantages in treating early gastric cancer, including fewer postoperative complications and shorter hospital stays. From an anesthesiologist’s perspective, ESD procedures reduce postoperative nausea and vomiting, facilitate perioperative anesthesia management, and decrease postoperative delirium in patients. This aligns with the principles of enhanced recovery after surgery. However, no standardized ERAS protocol currently exists for ESD. Therefore, we propose several efforts anesthesiologists can undertake within the enhanced recovery after surgery framework.