Endoscopic Submucosal Dissection Treatment in Turkey
About Endoscopic Submucosal Dissection
Key Highlights
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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.
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Typical hospital stay:
2-3 days
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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 Turkey, these questions and answers can help you make a confident, informed decision.
Top-rated hospitals in Turkey with surgical gastroenterology departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform endoscopic submucosal dissection. MediFyr helps you compare surgical gastroenterologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
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 | USD 1,652 – USD 3,854 | 2-3 days | ~ 1-2 weeks for normal activities, 4-6 weeks for complete internal healing | Know More |
| Turkey | USD 12,293 – USD 28,685 | 2-3 days | ~ 1-2 weeks for normal activities, 4-6 weeks for complete internal healing | Know More |
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.