Advertisement

Endoscopic Mucosal Resection (EMR)

  • Hiroshi KashidaEmail author
Chapter

Abstract

The procedure of endoscopic mucosal resection (EMR) is not merely a technical matter but a series of complicated steps including precise endoscopic diagnosis, appropriate strategy of treatment, handling of the resected specimen, and finally pathological diagnosis. Before performing EMR, the lesion should be evaluated carefully with magnified observation, and the resection should be carried out systematically without cutting into the area which is suspected to be invasive. A lesion suspected to be only slightly invasive (T1a cancer) can be treated endoscopically but better be resected in one piece (en bloc). A complete resection with negative margin is essential, and the histological specimen should be carefully prepared so that a correct pathological diagnosis can be made.

Keywords

Endoscopic mucosal resection (EMR) Snare Injection Recurrence 

References

  1. 1.
    Kashida H. Endoscopic mucosal resection for clinically suspected submucosal cancer of the colorectum. Stomach Intest. 2011;46:1497–1510 (in Japanese with English abstract).Google Scholar
  2. 2.
    Tanaka S, Kashida H, Saito Y, et al. JGES guidelines for colorectal endoscopic submucosal dissection/endoscopic mucosal resection. Dig Endosc. 2015;27:417–34.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  1. 1.Department of Gastroenterology and HepatologyKindai University Faculty of MedicineOsaka-SayamaJapan

Personalised recommendations