Clinical Gastroenterology Vol.13 No.8(10)

Theme Safety Procedures in Endoscopic Mucosectomy
Title Endoscopic Mucosal Resection of Colorectal Lesions
Publish Date 1998/07
Author Hiroshi Koyama Koyama Gastroenterology Clinic
[ Summary ] Endoscopic mucosal resection (EMR) is one type of endoscopic treatment for colorectal lesions. In this treatment the lesion was separated mechanically from the submucosal layer by submucosal injection of a physiological saline solution. Then the artificially raised lesion along with the normal mucosa surrounding it was cut using a high frequency current. Indications for this treatment are intramucosal cancer or adenoma, especially superficial type lesions nodule-aggregating lesions and small carcinoid tumors of the rectum. If the lesion is not lifted by submucosal injection EMR must be stopped at this point, because the lesion would probably invade the submucosal layer or deeper tissues. EMR is a good method of endoscopic treatment with its safety and reliability. While only a small number of complications such as bleeding or perforatiol occur when using EMR, it must be performed carefully along with exact endoscopic diagnosis.
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