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    Endoscopic Submucosal Dissection (ESD)

    If you have a tumour or lesion in the lining of your gastrointestinal tract, your doctor might advise undergoing a procedure called endoscopic submucosal dissection (ESD) for removal. During ESD, specialised tools are used to precisely dissect and remove the abnormal tissue from the submucosal or deeper layer of the gastrointestinal tract. This technique allows for the removal of tumours or lesions without the need for traditional surgery, offering a minimally invasive approach with potentially reduced risks and faster recovery times.

    At Apollo Hospital in Jubilee Hills, Hyderabad, our team of specialists holds exceptional expertise in endoscopic submucosal dissection (ESD). With expert doctors, cutting-edge technology, and outstanding success rates, we stand as the best hospital for endoscopic submucosal dissection in Hyderabad.

    What Happens In Endoscopic Submucosal Dissection (ESD)?

    During the ESD procedure, your gastroenterologist will:

    • Administer a sedative through an IV to ensure pain relief.
    • Insert a high-definition endoscope through your mouth or anus, depending on the tumour’s location.
    • Monitor images on a screen to prevent damage to surrounding tissue.
    • Identify the tumour and delineate its borders using a specialised tool inserted through the endoscope.
    • Inject a solution beneath the tumour to separate it from the muscle wall, minimising damage to nearby tissue.
    • Utilise an electrosurgical knife with a high-frequency electrical current to detach tumour tissue from the GI wall, while sealing blood vessels to reduce bleeding.
    • Extract the tissue through the endoscope and send it to a laboratory for examination by a pathologist.

    Pre-Operative Care For Endoscopic Submucosal Dissection (ESD)

    Your gastroenterologist will offer detailed guidance on preparing for ESD. Pre-procedure steps may include:

    • If you are undergoing a lower gastrointestinal tract procedure, follow a liquid diet and use a laxative or enema to cleanse the bowel.
    • For an upper gastrointestinal tract procedure, avoid eating or drinking for 12 hours beforehand to ensure your oesophagus is free of food.
    • Inform your doctor about any allergies you have.
    • Arrange for transportation home after the procedure, as you will receive medication to induce drowsiness.

    Post-Operative Care For Endoscopic Submucosal Dissection (ESD)

    Following the ESD procedure, you will be carefully monitored in a recovery area until the effects of the sedative diminish. Your doctor will have a discussion with you about the outcomes of the procedure prior to your departure.

    Confirmation of whether the tumour has been entirely removed can be determined through the examination of tissue samples by a pathologist under a microscope.

    During your recovery period, you may encounter the following sensations:

    • A sore throat may occur if the endoscope is inserted through your mouth.
    • There could be instances of an upset stomach or vomiting if your stomach or intestine underwent treatment.
    • Experiencing excessive gas, bloating, or cramping is common, particularly if the abdomen was inflated with air during the procedure.

    Best Gastroenterology Doctors in Jubilee Hills

    Apollo Doctor

    Dr. Raghu D K

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    Dr. Bharath Kumar A

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    Dr. Ankith Vijay Agarwal

    MBBS (Osm), MD (PGIMER Chandigarh), DM (AIIMS New Delhi), FAGIE...
    15+ YRS
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    English, हिंदी, ಕನ್ನಡ, తెలుగు
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    FAQ's

    ESD can treat tumours and lesions in the submucosa layer, which is between the inner lining of organs and the muscle wall. It is used for conditions like Barrett's oesophagus and early-stage cancers or polyps in the colon, including colorectal, stomach, and esophageal cancers.

    Endoscopic submucosal dissection (ESD) is a minimally invasive procedure used to remove abnormal tissue from the digestive tract. ESD provides several advantages, including a swifter and less painful recovery process. Individuals undergoing ESD typically experience reduced post-operative discomfort and a faster return to normal activities compared to those undergoing open surgery.

    Endoscopic submucosal dissection (ESD) can lead to complications such as bleeding, perforation, and infection.Our skilled doctors at Apollo leverage their expertise to reduce these complications and ensure safer ESD procedures.
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