Endoscopic Tumour Removal (EMR/ESD)
एंडोस्कोपिक ट्यूमर रिमूवल (ESD/EMR)
ईएमआर (Endoscopic Mucosal Resection) और ईएसडी (Endoscopic Submucosal Dissection) दो उन्नत दूरबीन तकनीकें हैं जिनके द्वारा पेट, भोजन की नली या बड़ी आंत के अंदरूनी हिस्से में मौजूद शुरुआती कैंसर (early cancer), बड़े पॉलिप्स या बिना कैंसर वाली गांठों (tumors) को बिना किसी चीरा-फाड़ी या ओपन सर्जरी के सीधे दूरबीन से निकाल दिया जाता है। यह सर्जरी के बिना कैंसर को जड़ से खत्म करने का एक आधुनिक तरीका है।
Key Information at a Glance
Important parameters of your scheduled procedure.
पाचन तंत्र के शुरुआती कैंसर, बड़े पॉलिप्स और प्री-कैंसरस ट्यूमर को दूरबीन की मदद से सुरक्षित रूप से काटना और निकालना।
45 - 90 Minutes
Deep Sedation or General Anaesthesia
1 to 2 Days (For post-procedure observation)
Minimal pain; liquid diet for 2 days; full recovery in 1 week.
Dr. Akhilesh Yadav, DM Gastroenterology
Endoscopic Tumour Removal (EMR/ESD) की आवश्यकता कब होती है?
When is this procedure recommended by a gastroenterologist?
This procedure is commonly recommended to investigate, diagnose, or manage symptoms such as:
Large gastrointestinal polyps (बड़े पॉलिप्स) that cannot be removed by simple snaring
Early-stage stomach, esophageal, or colon cancer (शुरुआती कैंसर)
Flat lesions or nodules in Barrett’s esophagus
Submucosal lesions of the GI tract
डॉक्टर इसकी सलाह क्यों देते हैं?
Why your doctor may recommend undergoing a Endoscopic Tumour Removal (EMR/ESD) evaluation.
Expert Advice
Dr. Akhilesh Yadav
Understanding the Clinical Value of Endoscopic Tumour Removal (EMR/ESD)
Dr. Akhilesh Yadav recommends ESD/EMR for early gastrointestinal tumors. By removing only the inner diseased layer of the organ while preserving the rest of the stomach or colon, we provide cancer cure with a very high quality of life.
प्रक्रिया टाइमलाइन — Timeline Overview
The end-to-end patient journey for Endoscopic Tumour Removal (EMR/ESD).
1. Preparation (पहले)
Fasting for 6-8 hours, adjusting medicines, and reaching with a companion.
2. Procedure (दौरान)
15-30 minute check under comfortable sedation; direct HD imaging & painless biopsy if needed.
3. Recovery (बाद में)
Wake up comfortably, rest in daycare for 2 hours, and return home with report.
Endoscopic Tumour Removal (EMR/ESD) से पहले क्या तैयारी करें?
Important checklist parameters before your scheduled procedure.
1. Fasting (व्रत/खाली पेट)
Fasting required for 8 hours for upper GI. Complete bowel prep is mandatory for lower GI (colon) ESD.
2. Diet Guidelines (खान-पान)
Clear liquids for 24-48 hours. Absolutely no solid foods prior.
3. Regular Medicines (दवाइयाँ)
Blood thinners (Aspirin, Clopidogrel, Warfarin) MUST be stopped 7 days prior under cardiologist coordination.
4. Documents (आवश्यक कागजात)
Bring previous endoscopy reports, biopsy tissue slides/blocks, CT scan plates, and blood profiles.
5. Family Member (साथी/अभिभावक)
Hospital admission is required. A family member must accompany and assist the patient.
अस्पताल पहुंचने से पहले सुनिश्चित करें
If preparation instructions are not fully followed, the imaging quality might be compromised, which could require rescheduling. Please call Orchid Medical Centre for clarifications.
प्रक्रिया के दौरान क्या होता है?
Walkthrough of the clinical steps taken during a Endoscopic Tumour Removal (EMR/ESD) procedure.
Anesthesia Delivery
You are given deep IV sedation or general anesthesia. Vital signs are continuously monitored.
Lesion Mapping
The tumor boundaries are marked using specialized dye sprays (chromoendoscopy) or high-definition filters.
Submucosal Injection
A special solution is injected under the tumor to lift it away from the deeper muscle wall, creating a safe cushion.
Endoscopic Dissection
Using micro-knives passed through the scope, the tumor is dissected out in one single piece (en-bloc resection) to ensure no cancer cells are left.
रिकवरी और सावधानियां — Recovery Guide
What to expect and how to care for yourself after a Endoscopic Tumour Removal (EMR/ESD) procedure.
What to Expect
You will be moved to the ward. Some mild abdominal soreness or chest discomfort is expected and managed with IV medications.
When to Return Home
Discharged in 1 to 2 days once you can tolerate oral liquids and show no signs of bleeding.
Diet Guidelines
Strict clear liquid diet for the first 24-48 hours. Gradually move to a soft diet (khichdi, curd) for a week.
Physical Activity
Avoid heavy lifting, exercising, or traveling for 10-14 days.
Warning Signs (खतरे के लक्षण)
Please seek immediate medical attention or visit the emergency ward at Orchid Medical Centre if you experience any of the following symptoms:
सुरक्षा, लाभ और सफलता दर
Clinical safety protocols and therapeutic benefits of undergoing Endoscopic Tumour Removal (EMR/ESD).
Key Benefits of the Procedure
Procedural Risks
EMR/ESD are highly skilled procedures. The primary risks are bleeding (2-5%) and perforation (1-3%), which are usually managed endoscopically during the procedure itself using clips.
Success Rate
90% complete en-bloc resection rate.
Continuous Monitoring
Vitals and hemoglobin levels checked post-op.
पूछे जाने वाले मुख्य सवाल — FAQs
Frequently Asked Questions about Endoscopic Tumour Removal (EMR/ESD) procedures.
यदि पैथोलॉजी जांच में ट्यूमर पूरी तरह से निकल चुका है (clear margins) और यह केवल ऊपरी सतह पर था, तो किसी कीमोथेरेपी या रेडियोथेरेपी की आवश्यकता नहीं होती।
Doctor's Personal Advice
"Early cancers of the food pipe and stomach no longer require losing your entire stomach or esophagus. Advanced ESD can cure the cancer endoscopically if caught in time."
Dr. Akhilesh Yadav
DM Gastroenterology · Senior Consultant
सम्बंधित बीमारियां — Related Conditions
Conditions diagnosed or managed via this procedure.
स्वास्थ्य गाइड और ब्लॉग — Related Blogs
Read medical guides reviewed by Dr. Akhilesh Yadav.
Endoscopic Tumour Removal (EMR/ESD) के लिए आज ही डॉ. अखिलेश से मिलें
Plan your daycare procedure comfortably under expert gastroenterology supervision at Orchid Medical Centre, Ranchi. Get a 30-minute callback to schedule.
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