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EMR for Esophagus

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Endoscopy in Early Gastrointestinal Cancers, Volume 2

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Abstract

Various methods of local treatment have been developed to treat neoplastic lesions in the esophagus. Of these, endoscopic resection (ER) is a minimally invasive method of treatment, which enables histopathological evaluation of the resected specimen.

Endoscopic mucosal resection (EMR) of the esophagus is one of the most well-known methods of ER, but indications for EMR of esophageal lesions should be considered carefully to ensure en bloc and margin-negative (R0) resection. Endoscopic piecemeal mucosal resection (EPMR) increases the risk of local recurrence, and thus is not advised by current guidelines.

Our aim in this chapter is to describe indications, methods, and complications of EMR for esophagus. Various techniques of EMR, including two-channel EMR (strip biopsy method) and cap-fitted EMR (EMRC), will be described in detail with illustrations and endoscopic images of actual procedures, along with tips to achieve safe and effective EMR.

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Author information

Authors and Affiliations

  1. Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Hongo, Bunkyo-ku, Tokyo, Japan

    Chihiro Takeuchi, Yoshiki Sakaguchi & Mitsuhiro Fujishiro

  2. Department of Gastroenterology and Hepatology, Graduate School of Medicine, Nagoya University, Tsurumai-cho, Showa-ku, Nagoya, Aichi, Japan

    Mitsuhiro Fujishiro

Authors
  1. Chihiro Takeuchi
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  2. Yoshiki Sakaguchi
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  3. Mitsuhiro Fujishiro
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Corresponding author

Correspondence to Mitsuhiro Fujishiro .

Editor information

Editors and Affiliations

  1. Department of Surgery, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China

    Philip W. Y. Chiu

  2. Gastrointestinal Center & Institute of minimally-invasive endoscopic care, Sano Hospital, Kobe, Hyogo, Japan

    Yasushi Sano

  3. Department of Gastrointestinal Oncology, Endoscopy Training and Learning Center, Osaka Medical Center for Cancer & Cardiovascular Diseases, Higashinari-ku, Osaka, Japan

    Noriya Uedo

  4. Gastroenterology Department, Lyell McEwin Hospital, Adelaide, SA, Australia

    Rajvinder Singh

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Takeuchi, C., Sakaguchi, Y., Fujishiro, M. (2021). EMR for Esophagus. In: Chiu, P.W.Y., Sano, Y., Uedo, N., Singh, R. (eds) Endoscopy in Early Gastrointestinal Cancers, Volume 2. Springer, Singapore. https://doi.org/10.1007/978-981-10-6778-5_5

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  • DOI: https://doi.org/10.1007/978-981-10-6778-5_5

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-6777-8

  • Online ISBN: 978-981-10-6778-5

  • eBook Packages: MedicineMedicine (R0)

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