Advanced Tumor Removal with Endoscopic Submucosal Dissection (ESD)

Precision Treatment for Early-Stage GI Tumors and Lesions

What is Endoscopic Submucosal Dissection (ESD)?

Endoscopic Submucosal Dissection (ESD) is a cutting-edge, minimally invasive procedure used to remove early-stage tumors and lesions from the gastrointestinal (GI) tract. This advanced technique allows for the complete removal of abnormal tissue in a single piece (en bloc), enabling precise diagnosis and treatment while preserving surrounding healthy tissue.

At Central Gastro, we specialize in advanced ESD procedures to treat complex tumors with precision and care, offering patients an effective alternative to traditional surgery.

Why Choose ESD for Tumor Removal?

ESD is the preferred option for removing early-stage GI tumors and lesions that are confined to the inner layers of the GI tract (mucosa and submucosa). The procedure is particularly effective for:

• Precancerous Lesions: Including those in the esophagus, stomach, colon, or rectum.
• Early-Stage GI Cancers: Tumors limited to the superficial layers of the GI tract.
• Large or Flat Lesions: Lesions that are difficult to remove using standard techniques like polypectomy or EMR (Endoscopic Mucosal Resection).
• Suspicious or Complex Lesions: Providing accurate pathology results for proper diagnosis and treatment planning.

Conditions Treated with ESD

• Early Gastric Cancer (EGC)
• Esophageal Cancer
• Colorectal Cancer
• Large Polyps or Adenomas
• Barrett’s Esophagus with Dysplasia
• Submucosal Tumors (SMTs)

By offering en bloc resection, ESD ensures complete tumor removal and reduces the risk of recurrence.

How is ESD Performed?

ESD is a minimally invasive procedure performed using a specialized endoscope equipped with advanced tools.

Steps of the Procedure:

1. Preparation:
   • Fasting for 6–8 hours prior to the procedure is required.
   • Sedation or general anesthesia is provided for comfort.
2. Procedure:
   • A thin, flexible tube with a camera (endoscope) is inserted through the mouth (for upper GI lesions) or rectum (for lower GI lesions).
   • A lifting solution is injected beneath the lesion to separate it from deeper layers and facilitate safe removal.
   • Specialized instruments are used to dissect the lesion precisely along the submucosal layer.
   • The lesion is removed in one piece (en bloc), allowing thorough pathological analysis.
3. Recovery:
   • The procedure typically takes 1–3 hours, depending on the lesion’s size and location.
   • Patients are monitored in recovery and can often go home the same day or after an overnight stay.

Benefits of ESD for Tumor Removal

• Minimally Invasive: Avoids traditional open or laparoscopic surgery.
• En Bloc Resection: Removes tumors in a single piece for accurate pathological evaluation.
• Organ Preservation: Preserves the structure and function of the GI tract.
• High Success Rates: Effective for complete tumor removal and reducing recurrence.
• Quick Recovery: Shorter downtime compared to surgical alternatives.

What to Expect After ESD

1. Recovery:
   • Mild abdominal discomfort or bloating is normal and resolves within a few days.
   • Most patients can resume normal activities within 1–2 weeks.
2. Dietary Changes:
   • You may need to follow a liquid or soft diet temporarily to allow the treated area to heal.
3. Follow-Up Care:
   • Regular endoscopic surveillance ensures complete healing and monitors for any recurrence.
   • Pathology results from the removed lesion guide further treatment, if necessary.

Who is a Candidate for ESD?

You may be a candidate for ESD if you have been diagnosed with:

• Early-stage GI cancers or precancerous lesions.
• Large or complex polyps not suitable for standard polypectomy or EMR.
• Flat or sessile lesions identified during routine endoscopy or colonoscopy.

Our team at Central Gastro will evaluate your condition and recommend the best treatment plan tailored to your needs.

Why Choose Central Gastro for Advanced Tumor Removal with ESD?

At Central Gastro, we provide expert care and cutting-edge technology to deliver the best outcomes:

• Experienced Specialists: Our gastroenterologists are highly trained in advanced endoscopic procedures, including ESD.
• State-of-the-Art Technology: Utilizing the latest tools for precision and safety.
• Comprehensive Care: From diagnosis to post-procedure follow-up, we ensure seamless and personalized care.
• Patient-Centered Approach: Compassionate care designed to maximize comfort and improve outcomes.
• Minimally Invasive Expertise: Reducing recovery times and preserving quality of life.