Endoscopic Submucosal Dissection (ESD)
Highly advanced endoscopic technique to remove large early lesions in one piece (en bloc) — provides clean margins and detailed pathology for select early gastrointestinal cancers.
What is Endoscopic Submucosal Dissection (ESD)?
Endoscopic Submucosal Dissection (ESD) is a highly advanced endoscopic technique to remove large early gastrointestinal lesions and select early cancers in one piece (en bloc) during endoscopy. Specialised endoscopic knives are used to carefully dissect the lesion in the submucosal plane, allowing complete removal with clear margins and excellent pathology assessment. ESD is particularly valuable for early stomach, oesophageal, and rectal cancers, providing a true alternative to surgery in select patients. As an experienced proctologist in Hyderabad, Dr. Tejasree Vengala coordinates ESD at Lux Hospitals, Hyderabad, in close collaboration with advanced endoscopists.
How the Procedure Works
Bowel / Stomach Preparation
The relevant area is prepared — bowel cleansing for colonic ESD, fasting for upper GI ESD — to ensure clear visualisation.
Sedation & Endoscopy
The procedure is performed under sedation or general anaesthesia. The endoscope is inserted to clearly visualise the lesion.
Lesion Marking & Submucosal Injection
The lesion margin is marked with electrocautery, and a submucosal solution is injected to lift the lesion.
Circumferential Incision & Dissection
A specialised endoscopic knife makes a circumferential incision around the lesion, followed by careful submucosal dissection to remove it in one piece.
Specimen Retrieval & Closure
The lesion is retrieved en bloc for detailed biopsy. The base is inspected, any bleeding controlled, and closure clips applied if needed.
Outcomes
Who Needs This Treatment?
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Removes large lesions in a single piece (en bloc)
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Provides clean margins and detailed pathology assessment
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Avoids surgery for select early cancers
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Preserves the entire organ — no bowel resection needed
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Quick return to routine in 1–2 weeks
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Curative for many early-stage gastrointestinal cancers
ESD is endoscopic surgery in the truest sense — taking out an early cancer in one piece, with clean margins, through the scope itself. For the right patient with the right lesion, it offers a complete cure without sacrificing a single centimetre of healthy organ.
— — Dr. Tejasree Vengala, 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, specialised endoscopic equipment required, investigations, and the care needed before and after treatment.
For patients requiring advanced endoscopic removal of suitable superficial gastrointestinal or colorectal lesions, the approximate cost of ESD ranges between ₹1,00,000 and ₹2,00,000.
| Procedure | Approximate Cost Range |
|---|---|
| Endoscopic Submucosal Dissection (ESD) | ₹1,00,000 – ₹2,00,000 |
The final cost may vary depending on your individual condition, findings during evaluation, size and location of the lesion, technical complexity, equipment used, 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 location of the lesion: The size, location, depth, and characteristics of the lesion may influence treatment planning and procedural complexity.
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Pre-procedure evaluation: Required endoscopy, biopsy, imaging when needed, blood tests, and medical assessments before the procedure may affect the overall cost.
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Procedure complexity: Larger, technically difficult, or challenging lesions may require specialised endoscopic equipment and additional procedure time, which can influence the cost.
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Additional procedures: If biopsy, haemostasis, lesion assessment, or other endoscopic interventions are required during the same procedure, the cost may vary.
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Post-procedure care: Observation, medicines, dietary guidance, pathology evaluation, and follow-up requirements may influence the final estimate.
Is Endoscopic Submucosal Dissection (ESD) Covered by Insurance?
ESD may be covered by health insurance when it is performed for a medically necessary gastrointestinal or colorectal 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 treatment.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tejasree Vengala
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Tejashree Vengala, General & Laparoscopic Surgeon in Hyderabad, will evaluate your symptoms, medical history, and investigation reports to determine whether 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.
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Not sure which treatment is right for you?
Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.