Learn about Endoscopic Submucosal Dissection Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Endoscopic Submucosal Dissection and request assistance for cost estimates or appointments.

About Endoscopic Submucosal Dissection

Endoscopic Submucosal Dissection (ESD) is a highly advanced, minimally invasive procedure performed by a Surgical Gastroenterologist to remove early-stage gastrointestinal cancers and large precancerous lesions from the lining of the digestive tract. Using a specialized endoscope, the surgeon meticulously separates the abnormal tissue from the deeper healthy layers of the esophagus, stomach, or colon. This technique allows for the complete, en bloc removal of tumors, providing a precise pathological specimen for accurate staging. ESD is a curative treatment for select early cancers, offering a significant advantage over traditional surgery by preserving the organ, minimizing recovery time, and improving long-term quality of life for patients.

Key Highlights

    Minimally invasive, organ-preserving procedure.Allows for complete, single-piece (en bloc) removal of tumors for accurate pathology.Curative treatment for select early-stage gastrointestinal cancers.Lower risk of complications compared to traditional open surgery.Shorter hospital stay and faster recovery time.No external incisions; performed entirely through a natural orifice (the mouth or rectum)./ul

Who is this surgery for?

  • Early-stage esophageal, gastric (stomach), or colorectal cancer confined to the superficial layers.
  • Large precancerous lesions (adenomas or dysplasia) in the stomach or colon that are not suitable for standard polypectomy.
  • Submucosal tumors of the gastrointestinal tract requiring diagnostic or therapeutic removal.
  • Lesions with features suggesting a high risk of containing cancer (e.g., large size, non-lifting sign).
  • As an alternative to major surgery for patients who are high-risk surgical candidates.

How to prepare

  • Comprehensive evaluation including endoscopy, biopsy, and imaging (EUS, CT scan) to confirm lesion suitability.
  • Discontinuation of blood-thinning medications (e.g., aspirin, clopidogrel, warfarin) as advised by the doctor, typically 5-7 days prior.
  • Fasting for 6-8 hours before the procedure to ensure an empty stomach.
  • Bowel preparation with a prescribed laxative solution if the procedure is for the colon.
  • Pre-operative anesthesia assessment and discussion of medical history.
  • Arranging for transportation home post-procedure as sedation is used.

Risks & possible complications

  • Bleeding during or after the procedure, which may require endoscopic treatment.
  • Perforation (a tear or hole in the gastrointestinal wall), which is a serious but uncommon complication.
  • Infection at the treatment site.
  • Reactions to sedation, such as breathing difficulties or low blood pressure.
  • Stricture (narrowing) formation, especially after large esophageal or gastric resections.
  • Incomplete resection, which may require additional treatment or surgery.

Recovery & hospital stay

  • Observation in the hospital for 1-3 days to monitor for complications like bleeding or perforation.
  • A liquid diet initially, gradually advancing to soft foods over several days as tolerated.
  • Temporary dietary restrictions on spicy, rough, or hard foods to allow the wound to heal.
  • Avoidance of heavy lifting, strenuous exercise, and driving for 1-2 weeks.
  • Follow-up endoscopy in 3-6 months to confirm complete healing and no recurrence.
  • Prompt reporting of severe abdominal pain, fever, black stools, or vomiting to the doctor.
  • checked Typical hospital stay: 2-3 days
  • checked Expected recovery time: 1-2 weeks for normal activities, 4-6 weeks for complete internal healing

Frequently Asked Questions

If you are considering endoscopic submucosal dissection in India, these questions and answers can help you make a confident, informed decision.

Procedure cost in other countries

Here is an overview of how the estimated cost, hospital stay, and recovery time for endoscopic submucosal dissection compare across other countries where we have data.

Country Estimated cost range Typical stay Recovery time View details
India INR 150 Thousand – 350 Thousand 2-3 days ~ 1-2 weeks for normal activities, 4-6 weeks for complete internal healing Know More
Turkey TRY 525 Thousand – 1.23 Million 2-3 days ~ 1-2 weeks for normal activities, 4-6 weeks for complete internal healing Know More

Top hospitals for Endoscopic Submucosal Dissection in India

These partner hospitals in India have dedicated surgical gastroenterology teams and experience managing patients undergoing endoscopic submucosal dissection.

  • Star
  • Star
  • Star
  • Star
  • Star
10171+ Rating

Miot Hospital Chennai

  • IconChennai, India
  • Icon250 Doctors
PATIENT REVIEW

Vikram Brown, a 58-year-old architect, had...

Vikram Brown, a 58-year-old architect, had always been health-conscious. During a routine colonoscopy, his gastroenterologist found a large, flat polyp in his sigmoid colon that was too complex for standard removal. Biopsy showed it was a dysplastic lesion with high-grade abnormalities, precancerous but not yet invasive. Vikram was terrified; his father had died from colon cancer. His surgical gastroenterologist, Dr. Chen, recommended Endoscopic Submucosal Dissection (ESD). She explained it was a minimally invasive, organ-preserving procedure that could remove the entire lesion in one piece for precise pathology, avoiding major surgery. Vikram agreed, anxious but hopeful. The ESD was performed under deep sedation. It took two hours, but Dr. Chen successfully removed the 4cm lesion completely. Vikram stayed in the hospital overnight for observation. Pathology confirmed complete removal with clear margins and no cancer. After a week of a soft diet and mild discomfort, he was back to normal activities. The emotional relief was profound. The shadow of his family history lifted, replaced by immense gratitude for the advanced technique that spared him a bowel resection and the anxiety of an uncertain diagnosis.

Surgical Gastroenterologists for Endoscopic Submucosal Dissection

Explore experienced surgical gastroenterologists who regularly perform endoscopic submucosal dissection and provide pre- and post-operative care in India.

Dr. Surendran R
  • 35 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Tamil, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Miot Hospital Chennai, Chennai

OPD-desk synced • Updated
Dr. Hemanth Kumar K
  • 10 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi
Consult Charge ₹ 500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

OPD-desk synced • Updated
Dr. Alister Victor
  • 8 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi
Consult Charge ₹ 750
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

OPD-desk synced • Updated
Dr. Rajasekar A
  • 33 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi
Consult Charge ₹ 500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Salem, Salem

OPD-desk synced • Updated
Dr. Shashidhara Gosikere Matta G
  • 19 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

OPD-desk synced • Updated
Dr. Sanjeev Rohatgi
  • 17 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

OPD-desk synced • Updated
Dr. Nagaraj Palankar
  • 16 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Jasti BK Surendra
  • 25 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Vijayawada, vijayawada

OPD-desk synced • Updated
Dr. Ramya
  • 11 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi
Consult Charge ₹ 850
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Vijayawada, vijayawada

OPD-desk synced • Updated
Dr. Raghavendra N
  • 16 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Malleshwaram, Bangalore

OPD-desk synced • Updated
Dr. Maruthesh Chikkappa
  • 13 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Malleshwaram, Bangalore

OPD-desk synced • Updated
Dr. Sathish Kumar
  • 13 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Jayanagar, Bangalore

OPD-desk synced • Updated
Dr. Kasthuri T S
  • 12 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi
Consult Charge ₹ 500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Jayanagar, Bangalore

OPD-desk synced • Updated
Dr. BS Ramakrishna
  • 30 Years Experience
  • Gastroenterologist
Speaks: English, Hindi, Tamil
Consult Charge ₹ 500

MediFyr Plus SIMS Hospital Vadapalani, Chennai

OPD-desk synced • Updated
Dr. P Anbalagan
  • 25 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi, Tamil
Consult Charge ₹ 500

MediFyr Plus SIMS Hospital Vadapalani, Chennai

OPD-desk synced • Updated
Dr. Vivekanandan Shanmugam
  • 29 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi, Tamil
Consult Charge ₹ 500

MediFyr Plus SIMS Hospital Vadapalani, Chennai

OPD-desk synced • Updated
Dr. Govind Nandakumar
  • 18 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi
Consult Charge ₹ 980
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Hebbal, Bangalore

OPD-desk synced • Updated
Dr. SASI KANTH UDDAGIRI
  • 22 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Kamineni Hospital, Tadigadapa, vijayawada

OPD-desk synced • Updated
Dr. C. MANSOOR AHMED
  • 4 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Kamineni Hospital, King Koti, Hyderabad

OPD-desk synced • Updated
Dr. Adithya V Naragund
  • 14 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Kannada, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Cytecare Hospital, Bangalore

OPD-desk synced • Updated