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 (ESD) of oesophageal dysplasia and neoplasia.


This procedure can be used to treat abnormalities in the lining of the oesophagus. A long camera (endoscope) is inserted through the mouth and into the oesophagus to view the affected area. A solution is injected into the wall of the oesophagus, and then the abnormal part of its lining is removed with special instruments. The aim of the procedure is to avoid the need for open surgery, and to obtain a good-quality sample for examination under the microscope.

Coding recommendations

G14.6 Fibreoptic endoscopic submucosal resection of lesion of oesophagus

OPCS-4 code Y07.2 Clipping of organ NOC may also be assigned if clips are used.

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