T1 Rectal CA – EMR

EMR in the Esophagus using the cap technique, pre removal.

Endoscopic Mucosal Resection (EMR)


EMR is a method for removing cancerous or precancerous lesions in the digestive tract without the need for an abdominal incision or the removal of a section of the intestines.


After injecting fluid into the base of the lesion to raise it, Gastroenterologist uses a snare or a suction cap to raise the lesion and excise it. EMR has the ability to remove lesions up to 2 cm. in one piece. 


This procedure is also called Endoscopic Mucosectomy.

Polypectomy

Large Polyps

Lateral Spreading Tumor In the Rectum

eMR

Watch live recording of procedure

Polypectomy

EMR procedure explained

EMR of Granulose Cell Tumors
Esophageal Lesions Barrett’s Dysplasia – Low & High Grade 
FAQs

Q. What part of the body does this procedure take place and what conditions determines this type of surgery?
A. Endoscopic Mucosal Resection(EMR) can remove benign, superficial precancerous and cancerous lesions of the GI tract, en bloc if they are <2-3 cm in size and piecemeal if larger.

Q. Can you briefly explain the procedure?
A. The technique uses either a cap attached to the tip of the endoscope to suction the lesion into the cap and then use electrocautery to cut it or the use of a large snare to en snare the lesion and cut it with electrocautery.

Q. What is the indicator to use EMR procedure?
A.This technique is used to remove large polyps in the colon and GI tract, or remove precancerous lesions in the esophagus (Barrett’s esophagus).

Q.What determines using this procedure over ESD?
A.This differs from ESD in that larger lesions (>3 cm) cannot be removed en bloc. Besides early cancers invading deeper into the lining of the GI tract, may require en bloc resection to clear the margins, and may be better dissected by the ESD technique.  EMR also takes significantly less time to perform and requires less skill than ESD.

Q. When should this procedure be used?
A. It would be preferred in cases with large colon polyps which appear benign on inspection and can be removed piecemeal.

Q. When should this procedure not be used?
A. It would not be preferred in lesions that are proven malignant or suspicious for malignancy in which case ESD would be preferred.

Q. What are the complications of this procedure?
A. Complications are similar to ESD ,i.e, perforation and post procedure bleeding.

General FAQs

Here are some frequently asked general questions about all procedures.  For specific questions, you can reach me via the phone number below or the contact form.


Appointment - Call (850) 877-2105 or contact us via the contact us form to discuss your specific situation.

EMR of Barrett’s with High Grade

Polypectomy


EMR in the Esophagus using the cap technique, pre removal.