Endoscopic Submucosal Dissection (ESD)

       Achieve En bloc resections

ESD is a highly specialized technique that allows us to remove early cancers with clear margins and obviates need for surgical procedures.

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Potential indications for ESD include:

1. Large colon polyps. 

- En Bloc resection can be achieved for large colonic lesions that allows for accurate staging of early colonic neoplasia.

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2. Nodular Barretts esophagus or Intramucosal carcinoma, especially when the affected area is wide.

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3. Early gastric cancers, dysplastic lesions or large gastric polyps.

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4. Duodenal lesions.

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