胃内镜黏膜下剥离术围手术期指南（2025版）

Perioperative guideline for endoscopic submucosal dissection for gastric lesions (2025 edition)

摘要:

胃癌是危害我国人民健康的重大疾病之一。经过数年的发展和完善，内镜黏膜下剥离术（endoscopic submucosal dissection，ESD）作为早期胃癌首选的微创治疗方式，因创伤小、并发症少、恢复快等优点，得到了国际及国内多项指南和共识的推荐，在国内得到了推广和发展。基于2017年发布的《胃内镜黏膜下剥离术围手术期指南》，结合上一部指南发布后出现的新证据和新观点，组织国内消化及病理相关领域的专家更新指南，旨在为ESD围手术期管理提供参考。

Abstract:

Gastric cancer is one of the major diseases that pose a threat to the health of the Chinese people. After years of development and refinement, endoscopic submucosal dissection (ESD) has been recommended by multiple international and domestic guidelines and consensuses as the preferred minimally invasive treatment for early gastric cancer. Due to its advantages of minimal trauma, few complications, and rapid recovery, ESD has been promoted and developed in China. Based on the Clinical guidelines for gastric endoscopic submucosal dissection during the perioperative period published in 2017, and incorporating new evidence and perspectives that have emerged since the publication of the previous guideline, experts in the fields of gastroenterology and pathology in China were organized to update the guideline, aiming to provide a reference for perioperative management of ESD.