Some early-stage tumors and large polyps can be removed entirely through an endoscope, without surgery. Dr. Pavan Addala offers ESD as part of his third space endoscopy practice.
ESD is used for early-stage cancers or large, flat polyps confined to the superficial lining, that haven't grown deep enough to require full organ removal.
Larger, flatter lesions are harder to remove completely with standard methods. ESD removes them in one piece, giving a clearer picture for accurate staging.
Before ESD, careful evaluation, typically endoscopic ultrasound, confirms the lesion is confined to the superficial layer.
Performed entirely through an endoscope. The lesion is marked, lifted, and carefully dissected away, aiming to remove it in one piece with clear margins.
Hospital stay is typically short. Follow-up endoscopy confirms healing and reviews pathology results, which determine if further treatment is needed.
ESD carries risks including bleeding and, less commonly, perforation, given the precision required to dissect within the digestive tract wall. Experience with the technique is directly relevant to minimising these risks, and this is discussed based on your specific lesion during evaluation.
Whether ESD is the right option for a specific lesion depends on careful, expert evaluation. A second opinion can help confirm this less invasive option genuinely applies to your case.
Book a second-opinion consultation →Not quite. ESD is a more advanced technique for larger or flatter lesions.
For appropriately selected early-stage lesions, yes.
Additional treatment, potentially surgery, may be needed — exactly why follow-up reviews the full pathology.
Book a consultation so it can be properly evaluated.
Cost depends on lesion size and location. Confirm coverage specifics with your insurer.
If you've been told you have a large polyp or early-stage lesion, find out if ESD applies to your case.
