Endoscopic Submucosal Dissection Market

Global Market Study on Endoscopic Submucosal Dissection: Rising Prevalence of Gastric Cancers Worldwide Leading to Demand Surge

Endoscopic Submucosal Dissection Market Segmented By Knives, Tissue Retractors, Grasps/Clips, Injection Agents, Gastroscopes and Colonoscopes Product with Esophageal Cancer, Stomach Cancer, Colon Cancer Indication in Hospitals, Ambulatory Surgical Centers, Specialty Clinics

  • March-2020
  • PMRREP22897
  • 192 Pages
  • Healthcare


The rising demand for endoscopic procedures is expected to lead to healthy growth of the global endoscopic submucosal dissection market over the forecast period. East Asia has the highest number of procedures of endoscopic submucosal dissection (ESD).

This is primarily due to the high prevalence of gastric cancers in Japan and South Korea. Japan is also known to be the training center for ESD procedures. The adoption of the procedure in Western regions is currently in the nascent stage.

Furthermore, comparatively lower prevalence of gastric cancers in these regions is another factor for its current low adoption. However, this scenario is expected to change, and the adoption of ESD is expected to rise during the forecast period

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  • Olympus Corporation
  • Boston Scientific Corporation
  • ERBE Elektromedizin GmbH
  • FUJIFILM Medical Systems U.S.A., Inc
  • Sumitomo Bakelite Co., Ltd
  • Ovesco Endoscopy AG

Drawbacks of EMR and Rise in Adoption of Minimally-invasive Procedures to Offer Growth Opportunities

Endoscopic Mucosal Resection (EMR) is one of the most widely used techniques, worldwide, for the resection of lesions in the gastric tract. One of the major drawbacks of EMR is difficulty in removal of some fibrotic lesions.

Endoscopic submucosal dissection was initially performed in the 1990s, and has been developed to overcome the limitations of EMR. Since then, ESD has been widely adopted, especially in Asia, for the treatment of early gastric cancer.

In 2012 the Japanese National Health Insurance covered ESD for the treatment of early gastric cancers, and in 2014, for the treatment of colorectal malignant tumors measuring 2 to cm.

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Rise in Prevalence of Gastric Cancers to Boost Endoscopic Submucosal Dissection Market

Rise in geriatric population and prevalence of gastrointestinal cancers such as esophagus, stomach, and colon cancer have led to the increasing demand for endoscopy procedures. Also, the aging population is causing an increase in reported cases of colorectal cancer.

Increased patient awareness of the endoscopic submucosal dissection method will drive the demand for gastrointestinal endoscopic procedures. The U.S. population more than 65 years old is anticipated to more than double, i.e. from 46 million to 98 million by 2060.

According to Globocan 2018, the incidence of colon cancer is 1,096,601, globally. Similarly, the incidence of stomach and esophageal cancer is 1,033,701 and 572,034, respectively.

This incidence rate is expected to continue growing over the forecast period, thereby offering an increasing patient pool. Rise in the patient pool will favor the growth of the endoscopic submucosal dissection market over the coming years.

endoscopic submucosal dissection market

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Competitive Landscape of Endoscopic Submucosal Dissection Market

Although the endoscopic submucosal dissection procedure is not new, particularly in Asian countries, advancements in endoscope and accessories have offered opportunities for manufacturers to develop unique, efficient, and technologically-advanced ESD products.

For instance, Olympus launched a single-use electrosurgical knife with a fluid injection function to facilitate shorter procedure times, in 2015. Most manufacturers are working toward developing training centers to boost the sales of ESD products.

For instance, in August 2018, Erbe Elektromedizin GmbH launched its first advanced training course with HybridKnife at the Prince of Wales Hospital in Hong Kong. Similarly, Olympus Corporation announced the opening of its Thai - Training and Education Center (T-TEC) in Bangkok, Thailand, in 2016.

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Analysts’ Viewpoint

The research report on the endoscopic submucosal dissection market provides recommendations, overview of the market, and estimations of market growth over the next decade. The dissection knives segment, among the products, holds a dominant share in the endoscopic submucosal dissection market, followed by tissue retractors.

The market for each product type is expected to continue holding relatively similar shares through 2029. However, the adoption of endoscopic submucosal dissection is expected to increase the market for gastroscopes and colonoscopes in developing nations, while the adoption of injection agents will also rise slightly in western counties.

Key Segments of Endoscopic Submucosal Dissection Market

PMR’s study on the endoscopic submucosal dissection market offers information divided into four important segments - product, indication, end user, and region. This report offers comprehensive data and information about the important market dynamics and growth parameters associated with these categories.


  • Knives
  • Tissue Retractors
  • Grasps/Clips
  • Injection Agents
  • Gastroscopes & Colonoscopes


  • Esophageal Cancer
  • Stomach Cancer
  • Colon Cancer

End User

  • Hospitals
  • Ambulatory Surgical Centers
  • Specialty Clinics


  • North America
  • Latin America
  • Europe
  • South Asia
  • East Asia
  • Oceania
  • Middle East & Africa

Key Questions Answered in Report

  • How much is the endoscopic submucosal dissection market worth?

    The global endoscopic submucosal dissection market is estimated to be worth US$ 220 Mn in the year 2021.

  • What will be the demand outlook?

    The global endoscopic submucosal dissection market is expected to expand 2.2 times between 2021 and 2031.

  • What was the last 5 year market CAGR?

    The global endoscopic submucosal dissection market witnessed a CAGR of 6.5% between 2015 and 2020.

  • What are the key trends of endoscopic submucosal dissection market?

    The key trends imply new endoscopic submucosal dissection tools being launched by the key players. Also, training centers are being set up for driving product sales. Several endoscopists from the West go for these training programs all across East Asia for offering ESD procedures in countries like Brazil, Canada, and the US.

  • What is driving demand for endoscopic submucosal dissection?

    Rising prevalence of gastric cancers is driving the demand for endoscopic submucosal dissection.

  • What is the market share of top 5 players?

    The top 5 players such as Olympus Corporation, Boston Scientific Corporation, ERBE Elektromedizin GmbH, FUJIFILM Medical Systems U.S.A., Inc., and Sumitomo Bakelite Co., Ltd. account for more than 50% of the market share.

  • What are the top 5 countries driving demand?

    The top 5 countries driving the demand include the US, UK, Germany, China, and India.

  • What is North America’s market Outlook?

    North America holds a significant market share due to the US leading from the front.

  • At what percentage endoscopic submucosal dissection market is going to register growth in Europe?

    Europe is expected to witness growth at the rate of 6% in the endoscopic submucosal dissection market between 2021 and 2031.

  • What is the key market statistics in Korea and Japan?

    Japan and South Korea are expected to continue being the highest revenue generators for endoscopic submucosal dissection market due to increasing incidences of gastric cancers therein.

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