Best Endoscopic Submucosal Dissection Procedure in Hyderabad

Endoscopic Submucosal Dissection (ESD) is a minimally invasive endoscopic procedure that allows for the removal of early-stage gastrointestinal tumors, including those that are difficult to remove by conventional endoscopic techniques. ESD has become a widely accepted technique for the management of early gastrointestinal cancers and precancerous lesions.

How it Works

ESD involves using an endoscope to visualize the gastrointestinal mucosa and a specialized knife to dissect the tumor from the surrounding submucosal layer. The procedure is performed under sedation, and the patient is usually able to return home the same day. ESD allows for en-bloc resection of the tumor, meaning it is removed in one piece, which enables accurate pathological staging and reduces the risk of recurrence.


ESD is indicated for early-stage gastrointestinal tumors that are confined to the mucosal or submucosal layers and have not yet spread to the deeper layers or nearby lymph nodes. ESD is also indicated for the removal of large or complex precancerous lesions, such as those with high-grade dysplasia or intramucosal carcinoma.


ESD has several benefits over traditional surgery for the management of early-stage gastrointestinal tumors. ESD is a minimally invasive technique that does not require a major incision, which reduces postoperative pain, hospitalization, and recovery time. ESD also preserves the normal gastrointestinal anatomy and function, which can improve the patient’s quality of life.

Risks and Complications 

Like any medical procedure, ESD carries some risks and complications. The most common complications of ESD are bleeding and perforation. However, these complications are usually managed effectively during the procedure or shortly after. Rarely, more serious complications such as infection or bowel obstruction may occur.

Preparation for  ESD

Preparation for ESD involves a thorough evaluation of the patient’s medical history and physical examination, including laboratory tests and imaging studies such as endoscopic ultrasounds. The patient will need to follow a specific diet and medication regimen in the days leading up to the procedure.

Recovery and Follow-Up 

Recovery after ESD is usually quick, and most patients can resume normal activities within a few days. However, the patient will need to follow specific postoperative instructions, such as avoiding certain foods and activities. Follow-up after ESD involves regular monitoring to detect any recurrence of the tumor or complications.


Endoscopic Submucosal Dissection (ESD) is a safe and effective minimally invasive technique for the management of early-stage gastrointestinal tumors and precancerous lesions. ESD has several benefits over traditional surgery and offers a faster recovery time and improved quality of life for the patient. With appropriate patient selection and experienced endoscopists, ESD has become an established standard of care for the management of early gastrointestinal neoplasia.