The patient had approached the hospital with complaints of new-onset dyspepsia and ongoing stomach discomfort. During detailed endoscopic evaluation, doctors identified a raised and abnormally thickened area in the inner lining of the stomach, located at the incisura region. Advanced imaging techniques further classified the lesion as a Paris Type 0-IIa lesion measuring approximately 3 cm.
Further CECT investigations showed no evidence of regional or distant spread. A biopsy later confirmed tubulovillousadenoma with high-grade dysplasia (HGD), indicating a high-risk abnormal growth requiring timely medical intervention.
Considering the nature and location of the lesion, the medical team proceeded with Endoscopic Submucosal Dissection (ESD), an advanced minimally invasive endoscopic procedure used for precise removal of abnormal tissue from the gastrointestinal tract while avoiding major surgery.
The procedure was completed successfully in approximately one hour and achieved an R0 resection specimen, indicating complete removal of the lesion. Post-procedure findings showed no deep submucosal invasion, and the patient recovered well following the intervention. She was discharged in stable condition after two days. Currently, she has improved well, hepatate improved compared to earlier, with no active symptoms.
Sharing her experience, the patient Vasundhara Shetty (Name Changed) said, “When I first started experiencing continuous stomach discomfort, I did not realise it would require such treatment. Naturally, I was anxious after learning about the condition, but the doctors and hospital staff guided me with confidence and care throughout the process. I am relieved that the procedure was completed successfully and thankful to the entire medical team for helping me recover comfortably.”
Dr. Sandeep Kumbar, Consultant Medical Gastroenterologist & Hepatologist, HCG Hospital, Suchirayu, Hubli said, “Advanced procedures like ESD are helping doctors manage complex gastric lesions in a minimally invasive manner with greater precision. Timely diagnosis and specialised endoscopic intervention played an important role in this case, helping us achieve complete removal of the lesion while ensuring faster recovery and reduced hospital stay for the patient.”
Adding further perspective on the significance of the procedure, Dr. Sanjeev Chatni, Senior Consultant Medical Gastroenterologist & Hepatologist, HCG Hospital, Suchirayu, Hubli said, “Endoscopic Submucosal Dissection represents a major advancement in therapeutic gastroenterology, particularly for early-stage gastrointestinal malignancies. Procedures like these allow us to preserve organ function while delivering highly precise treatment outcomes. The successful management of this case highlights the growing capabilities of advanced endoscopic care in North Karnataka.”
Manjunath H D, Chief Operating Officer, HCG Hospital Suchirayu Hubballi, said, “At HCG Suchirayu Hospital, we remain committed to bringing advanced medical technologies and specialised expertise closer to patients in the region. Successfully performing complex procedures such as ESD reflects our focus on strengthening minimally invasive treatment capabilities and ensuring that patients can access world-class healthcare without having to travel to metropolitan cities.”
The Department of Gastroenterology also expressed gratitude to Dr. Aditya, Consultant Gastroenterologist & Hepatologistfor extending valuable support as expert faculty during the procedure.
The hospital further acknowledged the support and collaboration of the Department of Anaesthesia, Department of Surgery, Endoscopy Staff, and the ERBE Team, whose coordinated efforts contributed significantly to the successful outcome of the procedure.
Doctors also emphasised the importance of timely medical evaluation for symptoms such as persistent indigestion, unexplained stomach discomfort, appetite changes, or prolonged digestive issues, particularly among elderly individuals, as early medical attention can help in identifying serious gastrointestinal conditions at the right stage for treatment.
HCG Suchirayu Hospital – Hubli
In North Karnataka, HCG Suchirayu Hospital is in the heart of Hubli. We strive to improve the health of the community and the world by setting a standard of excellence. HCG Suchirayu Hospital is a multispecialty hospital in Hublicommitted to providing the safest, most effective, and most compassionate care to our patients. The hospital has an excellent team of well-experienced healthcare professionals, committed to providing effective treatment and services for the patients. When it comes to healthcare, we believe we offer lifetime support, ensuring good health. The 250 bedded multispecialty hospital in Hubli houses state-of-the-art technology, high-end diagnostic facilities comprehensive facilities and best-in-class healthcare services.
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