Endoscopic Submucosal Dissection (ESD):
What is an ESD procedure?
An endoscopic submucosal dissection (ESD) is a new and technologically advanced procedure that requires the use of special knives for the resection of large lesions in the gastrointestinal tract. These lesions would typically be resected in piecemeal fashion in the past; however an ESD allows a gastroenterologist to remove the lesion endoscopically. This procedure was developed for large gastric lesions and is now being used to remove masses in other areas of the body. In the hands of an expert, such as Dr. Mainor Antillon, who works at the University of Missouri - Columbia University Hospital and Clinics, the rates of bleeding and perforation are low. This promising novel technique will improve curative endoscopic treatment and is performed at only one other institution within the United States.
This procedure will have very specific instructions, depending on the patient’s situation. Prior to the ESD a nurse clinician will be in contact with the patient to provide the patient with proper instructions and to answer any questions.
Related websites and resources:
- The Dave Project - A Video of an ESD performed at MU
- Journal Watch: ESD
- ESD in the treatment of esophageal neoplasms
- More patient resources
| University of Missouri Health Care | This information is not intended to replace the advice of a doctor. |

