Advanced Endoscopy in Delhi — EMR, ESD & Narrow-Band Imaging
Japan detects and cures more early GI cancers endoscopically than any country in the world. Dr Paliwal trained there in magnification endoscopy, narrow-band imaging, endoscopic mucosal resection and endoscopic submucosal dissection — techniques that remove early cancers and large flat polyps through the scope, sparing the patient surgery. Very few doctors in India offer them.
Detection: magnification and NBI
Narrow-band imaging highlights the surface and vessel patterns of the lining; magnification shows them in detail. Together they identify early cancers and pre-cancerous lesions of the food-pipe, stomach and colon that look like nothing on standard endoscopy.
EMR
Endoscopic mucosal resection lifts a lesion with an injection and removes it with a snare — for flat polyps and early lesions up to about 2 cm.
ESD
Endoscopic submucosal dissection removes larger or more advanced early cancers in one piece using an electrosurgical knife, giving a complete specimen for pathology and a cure rate comparable to surgery for suitable lesions.
Who benefits
Patients with Barrett's dysplasia, early gastric cancer, large colon polyps, and those referred for surgery who may qualify for an endoscopic cure instead. A second opinion before surgery is worthwhile.
Conditions this helps diagnose or treat
Colon Cancer Screening & Polyps
Screening colonoscopy, polyp removal
Symptoms, tests & treatmentGERD (Reflux Disease)
Chronic reflux, confirmed and controlled
Symptoms, tests & treatmentPeptic Ulcer & Gastritis
Ulcers and gastritis, cured at the cause
Symptoms, tests & treatmentDifficulty Swallowing (Dysphagia)
Food sticking, achalasia, strictures
Symptoms, tests & treatmentWhy patients choose Dr Paliwal for advanced endoscopy: emr, esd & nbi
- Trained at India's best: MD from Lady Hardinge, DM Gastroenterology & Hepatology from SGPGI Lucknow, SCE Gastroenterology (UK), advanced endoscopy training in Japan.
- 22+ years at Medanta, Artemis and PSRI — the complex cases other doctors refer.
- Delhi's first luminal GI & motility lab — breath tests, manometry, pH studies and biofeedback done in-house, not outsourced.
- No unnecessary tests. The phrase patients use most in 265+ Google reviews.
Questions about advanced endoscopy: emr, esd & nbi
Can early cancer really be cured by endoscopy?
Yes, when it is confined to the superficial layers. Careful assessment decides suitability; this is exactly what Japanese training is about.
Is ESD available in South Delhi?
Yes, at PSRI Hospital under Dr Paliwal.
Other procedures
Upper GI Endoscopy
Camera examination of food-pipe, stomach and duodenum — with biopsy and treatment in the same session
How it worksColonoscopy
Full examination of the large intestine with polyp removal in the same sitting
How it worksERCP
Endoscopic treatment of bile-duct stones, jaundice and blockages — no open surgery
How it worksCapsule Endoscopy
Swallow a pill camera to photograph the whole small intestine — no sedation, no tube
How it worksAsk about advanced endoscopy: emr, esd & nbi at PSRI or the CR Park clinic.
Send your reports on WhatsApp; the team will tell you whether this test is needed and what to prepare.