If you have a tumor or lesion in the lining of your gastrointestinal tract, your doctor may prescribe endoscopic submucosal dissection to remove it. Endoscopic submucosal dissection (ESD) is a minimally invasive treatment that removes precancerous and cancerous portions of the gastrointestinal (GI) tract using a flexible, tube-like equipment called an endoscope. The term "submucosal" refers to tumors that are positioned beneath the lining of the GI system (mucosa). These tumors might be near to muscular tissue and are difficult to entirely remove using standard procedures. This technique is carried out by gastroenterologists (specialists in the treatment of the GI system). The doctor will put the endoscope through the mouth for upper GI tumors or through the anus for lower GI tumors, depending on where the tumor is located in the GI tract. ESD is normally performed as an outpatient operation, with most patients returning home the same day.
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