Endoscopic mucosal resection (EMR) is an alternative to surgery to remove superficial malignant lesions. Techniques of EMR encompass: "strip biopsy", cap-fitted endoscope, variceal ligator device, and insulated-tip diathermic knife. Injecting a solution into the submucosa, avoids thermal injury to the gastrointestinal wall. The lesion can be removed in one single piece ("en bloc"), or in multiple fragments ("piecemeal"). EMR is effective in the treatment of early cancer of the esophagus and high-grade dysplasia in Barrett's esophagus, in patients with early gastric cancer, large sessile colorectal polyps and early colon cancers. Bleeding and perforation are the most frequent complications.
|Translated title of the contribution||Endoscopic mucosal resection|
|Number of pages||12|
|Journal||Argomenti di Gastroenterologia Clinica|
|Publication status||Published - Mar 2004|
ASJC Scopus subject areas