 I'm Dr. K. N. Kesheti, Consultant Gastroenterologist at Panepala Hospital, Bangalore. I've been working in this hospital since its inception in the year 1991. I had my training in gastroenterology at Imperial College Hammersmith Hospital London. I had the privilege of setting up this department and seeing it grow in the past 28 years. I'm proud to say that we have an excellent gastroenterology department and state-of-the-art endoscopy unit comparable to the best in the country. We perform routine and advanced therapeutic endoscopy procedures in our gastroenterology department. And one of the procedures which I would like to talk about is a procedure called ESD. ESD is a procedure which stands for Endoscopic Submucosal Dissection. It's a procedure which is performed to remove benign, pre-malignant and malignant tumors in the gastroenterocyanin tract. The advantage of this procedure is it is less expensive, less invasive, less morbidity. And it's a daycare procedure turned under general anesthesia. Recently I performed ESD, Endoscopic Submucosal Dissection, removing a tumor from the fundus of the stomach. As you can see the tumor in the fundus of the stomach, I marked the surrounding about 1 to 2 cm away from the tumor. And then I injected the tumor so it is lifted up. Then I started the dissection and I dissected the tumor and I removed the tumor in block and sent it for a strepathological examination. And as you can see there was a small vessel which I have clipped also. And the base is completely clear. There is no bleeding, no complication, no perforation. And I have strepathological examination as come as the tumor has been completely excised and the patient is cured of the tumor. I'd like to show the procedure which I performed for a tumor in the esophagus, that is the following passage. You can see I've marked the tumor, then I've injected, lifted up the tumor and then the dissection of the tumor is performed. The tumor is removed and blocked and the specimen was sent for an examination. As you can see the base is clear, there is no bleeding, no perforation. And the procedure went on very well. It was a tumor which had a malignant potential and the patient is cured of the disease. If patients have got any indigestion problem, loss of appetite, weight loss, they should undergo an upper jaw endoscopy and if we find a lesion which can be treated endoscopy at an early stage it will help the patient avoid surgical procedure or laparoscopic surgery.