Effects of integrated management on surgical outcomes and mental health of patients following endoscopic submucosal dissection.

Background: Endoscopic submucosal dissection (ESD) is a less invasive local treatment for diseases throughout the gastrointestinal tract.

Aim: To develop an integrated management protocol and analyze its effects on surgical outcomes and mental health of patients after ESD.

Methods: The study population consisted of patients undergoing ESD before implementation of integrated management and those undergoing ESD by the same pool of surgeons after implementation of integrated management.