{"id":2885,"date":"2026-01-17T13:31:11","date_gmt":"2026-01-17T08:31:11","guid":{"rendered":"https:\/\/doctoraklohana.com\/?p=2885"},"modified":"2026-02-24T20:24:03","modified_gmt":"2026-02-24T15:24:03","slug":"esd-endoscopic-submucosal-dissection-2","status":"publish","type":"post","link":"https:\/\/doctoraklohana.com\/?p=2885","title":{"rendered":"ESD (Endoscopic Submucosal Dissection)"},"content":{"rendered":"<p>Advanced technique to remove larger or deeper GI lesions en bloc by cutting through the submucosal layer.<\/p>\n<p><strong>Why it\u2019s done<\/strong><br \/>\n\u2022 Early cancers &gt;2 cm or with fibrosis<br \/>\n\u2022 High-grade dysplasia in Barrett\u2019s esophagus or stomach<\/p>\n<p><strong>Preparation<\/strong><br \/>\n\u2022 Fasting or bowel prep per location<br \/>\n\u2022 Stop anticoagulants per protocol<br \/>\n\u2022 Discuss higher-risk of complications<\/p>\n<p><strong>Procedure<\/strong><br \/>\n\u2022 Deep sedation or anesthesia<br \/>\n\u2022 Mark lesion margins, submucosal injection, then dissection with specialized knives<br \/>\n\u2022 Duration: 1\u20133 hours<\/p>\n<p><strong>Afterwards<\/strong><br \/>\n\u2022 Hospital stay 1\u20132 days<br \/>\n\u2022 Liquid diet for 1\u20132 days; advance cautiously<\/p>\n<p><strong>Risks<\/strong><br \/>\n\u2022 Bleeding (5\u201310%)<br \/>\n\u2022 Perforation (3\u20135%)<br \/>\n\u2022 Stricture formation (5\u201310%)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Advanced technique to remove larger or deeper GI lesions en bloc by cutting through the submucosal layer. Why it\u2019s done \u2022 Early cancers &gt;2 cm or with fibrosis \u2022 High-grade dysplasia in Barrett\u2019s esophagus or stomach Preparation \u2022 Fasting or bowel prep per location \u2022 Stop anticoagulants per protocol \u2022 Discuss higher-risk of complications Procedure [&#8230;]<\/p>\n","protected":false},"author":1,"featured_media":3030,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[61],"tags":[],"class_list":["post-2885","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-services"],"_links":{"self":[{"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=\/wp\/v2\/posts\/2885","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2885"}],"version-history":[{"count":1,"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=\/wp\/v2\/posts\/2885\/revisions"}],"predecessor-version":[{"id":2893,"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=\/wp\/v2\/posts\/2885\/revisions\/2893"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=\/wp\/v2\/media\/3030"}],"wp:attachment":[{"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2885"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2885"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2885"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}