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Updated: Mar 12, 2026

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Perioperative multidisciplinary nursing model for endoscopic gastric submucosal dissection development and effect

Yu-Ping Qian1, Hui Cai1, Shu-Yin Tang2

  • 1Digestive Endoscopy Center, Jiangnan University Affiliated Hospital, Wuxi 214062, Jiangsu Province, China.

World Journal of Gastrointestinal Surgery
|March 11, 2026
PubMed
Summary

A multidisciplinary team (MDT) nursing model significantly improves recovery for early gastric cancer (EGC) patients undergoing endoscopic submucosal dissection (ESD). This approach enhances patient outcomes and satisfaction, making it valuable for clinical application.

Keywords:
Clinical effectDigestive endoscopyEarly gastric cancerEndoscopic submucosal dissectionMultidisciplinary collaborative nursing

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Nursing Research

Background:

  • Endoscopic submucosal dissection (ESD) is a standard treatment for early gastric cancer (EGC), but complications can prolong recovery.
  • Conventional nursing models may not adequately address the comprehensive needs of EGC patients post-ESD.
  • Multidisciplinary team (MDT) approaches show promise in improving oncology patient care.

Purpose of the Study:

  • To evaluate the effectiveness of a perioperative MDT nursing model for EGC patients undergoing ESD.
  • To compare patient recovery and satisfaction between MDT nursing and conventional nursing.

Main Methods:

  • A prospective study comparing 99 EGC patients receiving MDT nursing (observation group) with 99 patients receiving conventional nursing (control group) after ESD.
  • Key outcome measures included bowel sound recovery time, time to first activity, hospital stay length, and patient satisfaction.

Main Results:

  • The MDT nursing group showed significantly faster bowel sound recovery (12.53 ± 1.21 hours) and earlier first activity (23.53 ± 2.34 hours).
  • Hospital stay was shorter (6.63 ± 0.46 days) with a lower complication rate (3.03%) in the MDT group.
  • Patient satisfaction was significantly higher (100%) in the MDT group compared to the control group (80.81%).

Conclusions:

  • A perioperative MDT nursing model significantly enhances recovery and treatment outcomes for EGC patients post-ESD.
  • The MDT approach leads to increased patient satisfaction and is recommended for clinical implementation.