| Theme | Endoscopic treatment of early colorectal cancer and adenoma -- the advancement of EMR and ESD technique | |
|---|---|---|
| Title | Procedure for endoscopic mucosal resection (EMR) | |
| Publish Date | 2007/11 | |
| Author | Yui Kudo | Digestive Disease Center, Showa University Northern Yokohama Hospital / Sapia Tower Clinic |
| Author | Shin-ei Kudo | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| Author | Hiroshi Kashida | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| Author | Nobunao Ikehara | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| Author | Hiroshi Kanie | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| Author | Toshihisa Hosoya | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| Author | Kenta Kodama | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| Author | Hitomi Minami | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| Author | Masayuki Jinzen | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| [ Summary ] | 1. Into the normal submucosal layer of the anus side of the lesion, physiologic saline is injected to create an artificial protrusion. The lesion should be positioned on top of the protrusion. 2. The snare with spikes (needles) is put around the lesion (wiring) and closed firmly until you feel the resistance. 3. The lesion is resected only with cutting current, as quickly as possible. If this is hard to do, wiring should be repeated from the beginning, since the snaring may be involving the muscular layer. 4. The resected lesion is quickly extracted with a pentapod so as not to injure it. |
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