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Endoscopic Mucosal Resection: Colon and Rectum

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Abstract

The technique of endoscopic mucosal resection (EMR) is utilized for the removal of superficial neoplasms from the lumen of the gastrointestinal (GI) tract. In the simplest terms, EMR involves the removal of a gastrointestinal lesion through an endoscope using a snare. Of course, there are variations to this technique, and the procedure comes with a learning curve. In general, EMR is used for lesions less than 2 cm in size with a depth of invasion limited to the mucosa or submucosa, although this method can be applied to larger benign lesions in a piecemeal manner. First developed for the treatment of early gastric cancer, EMR is now widely utilized in the colon and rectum for the treatment of adenomas or early carcinomas. This chapter discusses the history, indications/contraindications, technical aspects, and complications of EMR in the large intestine.

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Correspondence to Toyooki Sonoda M.D., F.A.C.S., F.A.S.C.R.S. .

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© 2016 SAGES

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Samdani, T.S., Sonoda, T. (2016). Endoscopic Mucosal Resection: Colon and Rectum. In: Kroh, M., Reavis, K. (eds) The SAGES Manual Operating Through the Endoscope. Springer, Cham. https://doi.org/10.1007/978-3-319-24145-6_14

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  • DOI: https://doi.org/10.1007/978-3-319-24145-6_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-24143-2

  • Online ISBN: 978-3-319-24145-6

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