Endoscopic Submucosal Dissection

Endoscopic Submucosal Dissection

Endoscopic submucosal dissection (ESD) is a procedure to remove deep tumours located in the gastrointestinal tract. In some cases, ESD is a more effective option than endoscopic mucosal resection for removing growths or tumours.

How is it performed?

  • Before the procedure, the patient is given sedation or anaesthesia.
  • The endoscope is passed through the mouth or the anus, depending on the location of the lesion, and guided to the site of the tumour.
  • The cancerous lesion is highlighted with a stain, so that it stands out from the healthy tissue.
  • The doctor marks the margins of the tumour to make sure all of the tumour is removed.
  • A liquid is injected into the submucosal layer beneath the lesion to lift it and make it easier to remove.
  • The lesion is then dissected and removed along with the endoscope.

Other Procedures

Capsule Endoscopy

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Colonoscopy

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Upper GI endoscopy

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Sigmoidoscopy

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Anorectal manometry

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Endobariatric Procedures

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Endoscopic Surgery for Reflux Disease

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High resolution esophageal manometry

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24 hour pH impedance monitoring

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SpyGlass Cholangioscopy

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Endoscopic Ultrasound (EUS)

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PowerSpiral Enteroscopy

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Endoscopic Mucosal Resection

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Peroral Endoscopic Myotomy (POEM)

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Endoscopic Submucosal Dissection

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Endoscopic Retrograde Cholangiopancreatography (ERCP)

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