Endoscopic Muscosal Resection
Endoscopic Mucosal Resection (EMR)
Gastrointestinal endoscopic mucosal resection (EMR) is a procedure to remove early-stage cancer and precancerous growths from the lining of the digestive tract.
Endoscopic mucosal resection is performed with an endoscope, which is a long, narrow tube equipped with a light and video camera. During EMR of the upper digestive tract, the doctor passes this tube (endoscope) through your mouth into your esophagus, stomach or upper part of the small intestine (duodenum). To reach the colon, the doctor guides a scope up through the anus. The doctor then inserts instruments through the endoscope to perform the procedure.
In most situations, EMR is intended to treat and cure a growth whether it is benign, precancerous or early stage (superficial) cancer. EMR can also be used for precise and accurate staging of gastrointestinal cancers. Examination of the tissue that is removed can help your doctor make a definitive diagnosis. For example, if you have cancer, EMR can help determine if the cancer has spread beneath the digestive tract lining, which would require a different method of treatment.
Reasons for the Procdure
Endoscopic mucosal resection is a less invasive alternative to surgery for removing abnormal tissues from the lining of the digestive tract. Your doctor may recommend the procedure to remove certain early-stage cancers or precancerous growths.
Some of the conditions that EMR has been used to treat include:
Barrett’s esophagus
Esophageal cancer
Precancerous growths and polyps of the stomach
Stomach (gastric) cancer
Precancerous polyps of the small intestine
Colon polyps
Colorectal cancer
Noncancerous growths that cause symptoms such as difficulty swallowing, nausea and vomiting, gastrointestinal bleeding
Endoscopic mucosal resection is performed by a specialist in digestive system disorders (gastroenterologist) who has expertise in the technique.
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