Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Gastrointest Surg. Jun 27, 2026; 18(6): 118083
Published online Jun 27, 2026. doi: 10.4240/wjgs.118083
Published online Jun 27, 2026. doi: 10.4240/wjgs.118083
Impact of a nursing-led peri-endoscopic management protocol on outcomes in patients with peptic ulcer bleeding undergoing therapeutic endoscopy
Hai-Yan Zhang, Jia-Rong Zhang, Yun-Ying Zhuang, Qing-Cheng Wu, Heng Zhang, Yong-De Huang, Department of Gastroenterology, The 910th Hospital of the Joint Logistic Support Force of the People's Liberation Army of China, Quanzhou 362000, Fujian Province, China
Author contributions: Zhang HY and Huang YD were responsible for study conception, design, data collection, and drafting of the manuscript; Zhang JR and Zhang H participated in data acquisition, statistical analysis, and interpretation of the results; Zhuang YY and Wu QC supervised the study and provided critical revisions of the manuscript for important intellectual content; and all the authors have read and approved the final version of the manuscript and agree to be accountable for all aspects of the work.
AI contribution statement: We hereby clarify that we have never used ChatGPT, Grammarly, DeepL or any other AI tools to write this manuscript. All the content of this manuscript was written manually by us, without using any AI tools for generation. We independently completed the tasks of language revision, translation and data analysis, without relying on any AI tools. We did not use any AI tools to design the content of the manuscript or interpret the research results.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of the PLA Joint Logistic Support Force 910 Hospital, No. 2023 Lun(shen)027.
Clinical trial registration statement: This study was not registered in a clinical trial registry.
Informed consent statement: All study participants or their legal guardians provided written informed consent prior to study enrollment.
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: No additional data are available.
Corresponding author: Yong-De Huang, MD, Department of Gastroenterology, The 910th Hospital of the Joint Logistic Support Force of the People's Liberation Army of China, No. 180 Huayuan Road, Fengze District, Quanzhou 362000, Fujian Province, China.
Received: February 3, 2026
Revised: March 5, 2026
Accepted: April 3, 2026
Published online: June 27, 2026
Processing time: 131 Days and 22.3 Hours
Revised: March 5, 2026
Accepted: April 3, 2026
Published online: June 27, 2026
Processing time: 131 Days and 22.3 Hours
Core Tip
Core Tip: This protocol integrates dual-risk stratification for bleeding and sedation or airway complications, checklist-based intraoperative coordination, and a time-anchored early warning and follow-up pathway, enabling nurses to transition from routine assistance to proactive, standardized peri-endoscopic management for patients with peptic ulcer bleeding.