{"id":544,"date":"2026-01-19T07:14:33","date_gmt":"2026-01-19T07:14:33","guid":{"rendered":"https:\/\/kishiwada.tokushukai.or.jp\/en\/?page_id=544"},"modified":"2026-04-11T03:56:13","modified_gmt":"2026-04-11T03:56:13","slug":"esd","status":"publish","type":"page","link":"https:\/\/kishiwada.tokushukai.or.jp\/en\/departments\/gastroenterology\/esd\/","title":{"rendered":"Endoscopic Submucosal Dissection (ESD)"},"content":{"rendered":"<section class=\"op-section disease\">\n<p>  <!-- Key takeaways --><\/p>\n<div class=\"disease-kpi\">\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">What we do<\/div>\n<div class=\"disease-kpi__value\">\n    Endoscopic submucosal dissection (ESD)\n  <\/div>\n<\/div>\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">Target condition<\/div>\n<div class=\"disease-kpi__value\">\n    Early-stage gastrointestinal cancer\n  <\/div>\n<\/div>\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">Approach<\/div>\n<div class=\"disease-kpi__value\">\n    Endoscopic resection with organ preservation when appropriate\n  <\/div>\n<\/div>\n<\/div>\n<p class=\"disease-lead\">\n  Endoscopic submucosal dissection (ESD) is used to remove selected early-stage<br \/>\n  gastrointestinal cancers using endoscopic techniques.<br \/>\n  It allows removal of lesions while preserving the surrounding organ.\n<\/p>\n<div class=\"disease-rows\">\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>What is ESD<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n        ESD is a therapeutic endoscopic procedure used to remove superficial lesions<br \/>\n        from the gastrointestinal tract.<br \/>\n        It is applied in selected cases of early-stage cancer of the esophagus,<br \/>\n        stomach, and colon.\n      <\/p>\n<p>\n        The lesion is removed in one piece (en bloc resection),<br \/>\n        allowing accurate pathological assessment.\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>When ESD may be considered<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<ul>\n<li>Early-stage cancer limited to the mucosa or superficial submucosa<\/li>\n<li>No evidence of deep invasion or distant spread<\/li>\n<li>Lesions that can be accessed and treated endoscopically<\/li>\n<li>Cases where organ preservation is appropriate<\/li>\n<\/ul>\n<p class=\"disease-muted\">\n        Eligibility is determined based on endoscopic findings, imaging, and pathology.\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>How ESD is performed<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n        The procedure is performed using specialized endoscopic instruments<br \/>\n        to dissect the submucosal layer beneath the lesion and remove it.\n      <\/p>\n<p>\n        Sedation may be used depending on the clinical situation.\n      <\/p>\n<p class=\"disease-muted\">\n        Procedure time and length of stay vary depending on lesion size,<br \/>\n        location, and patient condition.\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>After the procedure<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n        Patients are monitored for complications such as bleeding or perforation.<br \/>\n        Hospitalization is usually required.\n      <\/p>\n<p>\n        Pathological assessment of the resected specimen determines<br \/>\n        the need for further treatment or follow-up.\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Appointment<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n          Appointments are required in principle.<br \/>\n          A referral letter from another medical institution is recommended but not mandatory.\n        <\/p>\n<p class=\"disease-muted\">\n          For appointment requests and language support, please see the<br \/>\n          <a href=\"\/en\/departments\/gastroenterology\/#contact\">Gastroenterology<\/a> page.\n        <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>What we do Endoscopic submucosal dissection (ESD) Target condition Early-stage gastrointestinal cancer Approach Endoscopic resection with organ preservation when appropriate Endoscopic submucosal dissection (ESD) is used to remove selected early-stage gastrointestinal cancers using endoscopic techniques. It allows removal of lesions while preserving the surrounding organ. What is ESD ESD is a therapeutic endoscopic procedure used [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":526,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-544","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/544","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/comments?post=544"}],"version-history":[{"count":3,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/544\/revisions"}],"predecessor-version":[{"id":1382,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/544\/revisions\/1382"}],"up":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/526"}],"wp:attachment":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/media?parent=544"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}