Endoscopic submucosal dissection of lower gastrointestinal lesions

Summary

The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Endoscopic submucosal dissection of lower gastrointestinal lesions.

Description

This procedure can be used to treat superficial colon lesions. The procedure involves inserting a long camera (colonoscope) through the anus as far as the caecum. A solution is injected submucosally to raise the area affected by the lesion, which is resected endoscopically.  The aim of the procedure is to fully remove the lesion without the need open surgery, and to obtain a good quality sample for histological examination.

NICE Pathways

This guidance has been incorporated into the following NICE Pathways, along with other related guidance and products.

Visit the NICE Pathway: colorectal cancer

OPCS4.6 Code(s):

Endoscopic submucosal dissection (ESD) is synonymous with Endoscopic submucosal resection (EMR)The term ESD and EMR have been seen to be used interchangeably by clinicians.

These procedures are classified with OPCS-4.5 codes :

H20.5 Endoscopic submucosal resection of lesion of colon

Or

H23.5 Endoscopic submucosal resection of lesion of lower bowel using fibreoptic sigmoidoscope

Details

Contact details:

Links:

	IPG335 Endoscopic submucosal dissection of lower gastrointestinal lesions: guidance (web format)	24 March 2010
	IPG335 Endoscopic submucosal dissection of lower gastrointestinal lesions: guidance	24 March 2010
	IPG335 Endoscopic submucosal dissection of lower gastrointestinal lesions: understanding NICE guidance	24 March 2010
	IPG335 Endoscopic submucosal dissection of lower gastrointestinal lesions: understanding NICE guidance (MS Word format)	24 March 2010
	IPG335 Tynnu meinwe annormal o wal y coluddyn isaf drwy ddefnyddio endosgop a chyllell wedi'i phoethi'n drydanol - deall canllawiau NICE	13 April 2010
	IPG335 Endoscopic submucosal dissection of lower gastrointestinal lesions: audit support	16 March 2010
	Endoscopic submucosal dissection of lower gastrointestinal lesions: electronic clinical audit tool	14 October 2010
	Endoscopic submucosal dissection of lower gastrointestinal lesions: consultation comments	16 March 2010
	Endoscopic submucosal dissection of lower gastrointestinal lesions - Overview	29 April 2010
	Endoscopic submucosal dissection of lower gastrointestinal lesions (interventional procedures overview)	20 November 2009
	Endoscopic submucosal dissection of lower gastrointestinal lesions (interventional procedures consultation)	20 November 2009