Endoscopic Mucosal Resection (EMR)

  • Husayn Ladhani
  • Helmi Khadra
  • Jeffrey MarksEmail author


Endoscopic mucosal resection (EMR) is a minimally invasive alternative for the treatment of various benign, precancerous, and early stage malignant lesions with low risk of lymph node involvement. We review the common indications for its use in the colon and rectum, and provide description of the various EMR techniques, including the novel technique of underwater EMR. Comparison is made between the various submucosal injection solutions available for use during EMR, followed by an overview of the common complications and their management. Finally, clinical outcomes are described and compared to the technique of endoscopic submucosal dissection (ESD).


Endoscopic mucosal resection Mucosal lifting agents Mucosal lifting techniques Advanced endoscopic resection Advanced colonoscopy Advanced polypectomy 



Argon plasma coagulation


Cap-assisted EMR


Computed tomography


Dextrose water


Endoscopic mucosal resection


Endoscopic submucosal dissection


Endoscopic ultrasound


Fibrinogen mixture


Hyaluronic acid


Hydroxyethyl starch


Hydroxypropyl methylcellulose


Hypertonic saline


Injection-assisted EMR


Ligation-assisted EMR


Normal saline


Postpolypectomy syndrome


Underwater EMR

Supplementary material

Video 15.1

Endoscopic resection of a mucosal resection using I-EMR. (MP4 104,221 kb)


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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Department of SurgeryUniversity Hospitals Case Medical CenterClevelandUSA

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