The journey began with an incidental finding during a routine upper gastrointestinal endoscopy by Dato' Dr Mahendra Raj, Consultant Gastroenterologist & Hepatologist, who identified an early-stage squamous cell carcinoma. 

The patient was promptly referred to Dr Gew Lai Teck, Consultant Gastroenterologist & Hepatologist with specialised training in ESD. Following meticulous discussion, planning, and optimisation, the complex procedure was successfully performed by Dr Gew together with Dr Lau Peng Choong, Consultant Upper Gastrointestinal Tract Surgeon.

This innovative technique demonstrates the power of ESD in treating early-stage oesophageal and gastric cancers while preserving organ function, offering patients a curative option that avoids major surgery. The achievement reflects the continued evolution of advanced endoscopic capabilities at Pantai Hospital Kuala Lumpur, driven by clinical expertise, multidisciplinary collaboration, and a patient-centric approach.

It also highlights the critical importance of early detection and evaluation, which can make all the difference.