Endoscopic submucosal dissection, ESD

Overview

Early gastrointestinal neoplasm

Gastrointesitnal tract includes from esophagus, stomach, duodenum, small intestine to colon area. The early gastrointestinal neoplasm means superficial epithelial cancer with limited invasion (only to mucosa or submucosal layer) at these areas. Early diagnosis and treatment of early gastrointestinal neoplasm gets very good prognosis.

 

Features

Endoscopic submucosal dissection, ESD

ESD is a promising advance for treatment of early gastrointestinal neoplasm in recent 10 years. It can offer a comparable outcome to traditional surgical resection. Another benefit of ESD includes less invasiveness, preserved organ, no surgical wound, faster recovery and better life quality after treatment.

The goal of ESD is to completely resect resection of the neoplasm and finally cure the disease.

 

Procedure

Most patients who receive ESD should undergo moderate conscious sedation without respiratory machine support. The treatment procedure includes sedation, identify the neoplasma, circumferential incision and submucosal dissection of the neoplasma by specialized endoscopic equipment. Finally, remove the neoplasma without any surgical wound in the body surface. The duration of procedure time is about 2-4 hours.

 

Notification

  • Bleeding, about 5.5%. Treatment includes endoscopic bleeding control and blood transfusion
  • Gastrointestinal tract perforation, about 1.2-6%. Treatment includes endoscopic repair or emergent surgical repair (in 1-2% patients)
  • Gastrointestinal tract stricture. Mostly in patients who have large area of early esophageal cancer receiving ESD.

 

Estimated Cost

Prices are subject to change without prior notice, need to pay in accordance with the actual medical expenses.

Early esophageal cancer

endoscopic submucosal dissection

Post ESD wound, immediately

Post ESD wound, 1 month later.
Preserved esophagus