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Endoscopic Mucosal Resection for Upper Gastrointestinal Neoplasia

  • Yoo Min Park
  • Jae-Young JangEmail author
Chapter

Abstract

Endoscopic mucosal resection (EMR) is an endoscopic technique developed to resect neoplasms confined to the superficial layers of the gastrointestinal (GI) tract. It can be performed for premalignant lesions, early cancer, or subepithelial tumors of the upper GI tract. However, thorough evaluation of the target lesion should precede the procedure. EMR is performed using a snare to resect a lesion after marking and submucosal injection, with various techniques previously introduced to improve the outcome. It can be performed relatively safely, although several complications such as bleeding, perforation, and strictures have been reported. The rate of complete resection for early gastric cancer is reportedly more than 70%; nevertheless, complete resection using the EMR technique is widely dependent on the size of the lesion.

Keywords

Endoscopic mucosal resection Premalignant lesion Early cancer Subepithelial tumor Complication 

References

  1. 1.
    Kuwano H, Nishinuma Y, Ohtsu A, et al. Guidelines for diagnosis and treatment of carcinoma of the esophagus. April 2007 edition: part I. Edited by the Japan Esophageal Society. Esophagus. 2008;5:61–73.CrossRefGoogle Scholar
  2. 2.
    Soetikno RM, Gotoda T, Nakanishi Y, Soehendra N. Endoscopic mucosal resection. Gastrointest Endosc. 2012;57:567–79.CrossRefGoogle Scholar
  3. 3.
    Hwang JH, Kimmey MB. The incidental upper gastrointestinal subepithelial mass. Gastroenterology. 2004;26:301–7.CrossRefGoogle Scholar
  4. 4.
    Standards of Practice C, Faulx AL, Kothari S, et al. The role of endoscopy in subepithelial lesions of the G tract. Gastrointest Endosc. 2017;85:1117–1132.Google Scholar
  5. 5.
    Cantor MJ, Davila RE, Faigel DO. Yield of tissue sampling for subepithelial lesions evaluated by EUS: a comparison between forceps biopsies and endoscopic submucosal resection. Gastrointest Endosc. 2006;64(1):29–34.CrossRefGoogle Scholar
  6. 6.
    Cho WY, Jang JY, Lee DH, Endoscopic Technology and Investigation Study Group. Recent advances in image-enhanced endoscopy. 2011;Clin Endosc, 44:65–75.CrossRefGoogle Scholar
  7. 7.
    Kim JH, Song KS, Youn YH, et al. Clinicopathologic factors influence accurate endosonographic assessment for early gastric cancer. Gastrointest Endosc. 2007;66:901–8.CrossRefGoogle Scholar
  8. 8.
    ASGE Technology Committee, Kantsevoy SV, Adler DG, et al. Endoscopic mucosal resection and endoscopic submucosal dissection. Gastrointest Endosc. 2008;68:11–18.Google Scholar
  9. 9.
    Gotoda T. Endoscopic resection of early gastric cancer. Gastric Cancer. 2007;10:1–11.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Division of Gastroenterology, Department of Internal Medicine, College of MedicineKyung Hee UniversitySeoulSouth Korea

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