Endoscopic Submucosal Dissection (ESD)
The most advanced endoscopic resection technique - enabling en-bloc removal of any size lesion with precise margin control, avoiding surgery for large adenomas and selected early cancers. Available at selected specialist centres.
What is Endoscopic Submucosal Dissection (ESD)?
Endoscopic Submucosal Dissection (ESD) is the most technically advanced endoscopic resection technique, allowing en-bloc removal of large or complex mucosal lesions of any size. After submucosal injection, specialised endoscopic knives carefully dissect the submucosal layer under direct vision - freeing the lesion from the underlying muscle and removing it as a single intact specimen.
Dr. Samhitha Reddy offers ESD at Lux Hospitals, Hyderabad at selected specialist centres with the appropriate equipment and expertise - for large flat adenomas, early colorectal cancers, and complex lesions where EMR cannot achieve en-bloc resection. As part of the best polypectomy surgeons in Hyderabad programme, ESD's en-bloc specimen allows definitive assessment of lateral and deep margins.
ESD requires advanced endoscopic expertise and specialised equipment. It is available at selected specialist centres. Dr. Samhitha will refer appropriately for ESD when indicated based on lesion size, location, and morphology.
How the Procedure Works
Pre-procedure Assessment
MRI, endoscopic ultrasound, or chromoendoscopy assesses depth of invasion to confirm suitability for endoscopic vs surgical resection.
Extensive Submucosal Injection
Viscous submucosal solution is injected extensively beneath the lesion to create a thick cushion for dissection - larger volumes than used for EMR.
Circumferential Incision
An IT knife or Dual knife marks and incises the mucosa circumferentially 5 mm outside the lesion margins - defining the dissection boundary.
Submucosal Dissection
The endoscopic knife carefully dissects the submucosal layer under direct vision - advancing systematically beneath the lesion while maintaining the cushion.
En-bloc Retrieval & Orientation
The lesion is retrieved intact and pinned on a board for pathological orientation. Margin status, depth of invasion, and lymphovascular invasion are assessed precisely.
Outcomes
Who Needs This Treatment?
- →En-bloc resection of any size lesion - definitive margin assessment in a single specimen
- →Avoids major bowel surgery for large adenomas and selected early cancers
- →Superior recurrence rates compared to piecemeal EMR for large lesions
- →Curative for T1a early colorectal cancers with no lymphovascular invasion
- →Minimally invasive - no abdominal incisions or bowel resection
- →Available at selected specialist centres including Lux Hospitals, Hyderabad
ESD represents the pinnacle of endoscopic surgical technique. The ability to remove a lesion of any size en-bloc - obtaining a perfect specimen for pathological assessment - with no external incision is a genuinely transformative capability for patients who would otherwise face major bowel surgery.
— Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Endoscopic Submucosal Dissection (ESD) Cost in Hyderabad
The cost of endoscopic submucosal dissection (ESD) in Hyderabad depends on the size, location, and characteristics of the lesion, complexity of the procedure, investigations required, and the care needed before and after the procedure.
For patients with large sessile lesions requiring en bloc removal, the approximate cost of endoscopic submucosal dissection ranges between ₹80,000 and ₹1,80,000.
| Procedure | Approximate Cost Range |
|---|---|
| Endoscopic Submucosal Dissection (ESD) | ₹80,000 – ₹1,80,000 |
The final cost may vary depending on your individual condition, findings during the procedure, and whether any additional procedures are required.
Factors That Influence Endoscopic Submucosal Dissection (ESD) Cost
The overall cost may depend on:
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Size and characteristics of the lesion: The size, location, depth, and type of lesion may influence the complexity of removal and treatment planning.
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Pre-procedure evaluation: Required investigations, endoscopic assessment, biopsy reports, imaging, and medical evaluations before the procedure may affect the overall cost.
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Additional procedures: If procedures such as detailed lesion assessment, histopathological examination, management of bleeding, or other endoscopic interventions are required, the cost may vary.
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Hospital stay and post-procedure care: The duration of observation, medicines, dietary guidance, and follow-up requirements may influence the final estimate.
Is Endoscopic Submucosal Dissection (ESD) Covered by Insurance?
Endoscopic submucosal dissection (ESD) may be covered by health insurance when it is performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before the procedure.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Samhitha Reddy, Proctologist and Colorectal Specialist in Hyderabad, will evaluate your symptoms, medical history, and investigation reports to determine whether endoscopic submucosal dissection (ESD) is suitable for you. She will explain the procedure, expected outcomes, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Samhitha Reddy and get a personalised treatment plan.