Whole-course flexible management model for endoscopic submucosal dissection-treated patients for early digestive tract cancer or pre-cancerous lesions: Efficacy and quality-of-life-impact

doi:10.4240/wjgs.120648

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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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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. Oct 27, 2026; 18(10): 120648
Published online Oct 27, 2026. doi: 10.4240/wjgs.120648

Table 1 Baseline data of patients under two management models, n (%)/mean ± SD

Categories	Regular group (n = 45)	Intervention group (n = 47)	t/χ² value	P value
Sex			0.473	0.492
Male	29 (64.44)	27 (57.45)
Female	16 (35.56)	20 (42.55)
Average age (years)	61.87 ± 11.67	60.00 ± 10.86	0.796	0.428
Body mass index (kg/m²)	22.09 ± 2.57	22.38 ± 2.11	0.593	0.555
Educational level			0.416	0.812
Junior high school or below	23 (51.11)	25 (53.19)
Senior high school	14 (31.11)	12 (25.53)
Graduate or above	8 (17.78)	10 (21.82)
Lesion diameter (mm)	10.62 ± 1.96	10.48 ± 2.04	0.545	0.587

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Table 2 Impacts of two management models on patient safety, n (%)

Categories	Regular group (n = 45)	Intervention group (n = 47)	χ² value	P value
Abdominal pain	3 (6.67)	0 (0.00)
Abdominal distension	2 (4.44)	1 (2.13)
Bleeding	4 (8.89)	2 (4.26)
Infection	2 (4.44)	1 (2.13)
Total occurrence	11 (24.44)	4 (8.51)	4.277	0.039

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Table 3 Influence of two management models on patients’ nursing satisfaction, n (%)

Categories	Regular group (n = 45)	Intervention group (n = 47)	χ² value	P value
Very satisfied	14 (31.11)	23 (48.94)
Relatively satisfied	12 (26.67)	15 (31.91)
Satisfied	8 (17.78)	7 (14.89)
Uncertain	0 (0.00)	0 (0.00)
Dissatisfied	11 (24.44)	2 (4.26)
Nursing satisfaction	34 (75.56)	45 (95.74)	7.723	0.006

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Citation: Lin JY, Fang XL, Chen H, Chen Q, Jiang X, Chen JE, Wu LJ. Whole-course flexible management model for endoscopic submucosal dissection-treated patients for early digestive tract cancer or pre-cancerous lesions: Efficacy and quality-of-life-impact. World J Gastrointest Surg 2026; 18(10): 120648
URL: https://www.wjgnet.com/1948-9366/full/v18/i10/120648.htm
DOI: https://dx.doi.org/10.4240/wjgs.120648

Lin JY, Fang XL, Chen H, Chen Q, Jiang X, Chen JE, Wu LJ. Whole-course flexible management model for endoscopic submucosal dissection-treated patients for early digestive tract cancer or pre-cancerous lesions: Efficacy and quality-of-life-impact. World J Gastrointest Surg 2026; 18(10): 120648 [DOI: 10.4240/wjgs.120648]

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