Abstract
Endoscopic mucosal resection (EMR) is preferred to standard polypectomy for the resection of non-polypoid lesions because these lesions can be technically difficult to capture with a snare; furthermore, without submucosal injection the underlying muscularis propria may be excessively coagulated or even inadvertently resected. Because the resection plane of EMR is in the middle or deeper part of the submucosa, EMR allows the precise depth of the lesion to be evaluated. Although the majority of non-polypoid lesions are adenomatous, non-polypoid colorectal neoplasm has a high association with advanced pathology, irrespective of size. Using EMR, a complete pathologic specimen is obtained, the risk of lymph node metastasis can be accurately assessed based on the depth of invasion, and patients can be suitably managed. Used according to its indications, EMR provides curative resection, and obviates the higher morbidity, mortality, and cost associated with surgical treatment.
References
Mar 1, 1996·Gastrointestinal Endoscopy·T KanamoriK Tsuchida
Feb 28, 2002·Gastrointestinal Endoscopy·Jim C BrookerChristopher B Williams
Nov 5, 2002·Surgical Endoscopy·U Bergmann, H G Beger
Feb 14, 2003·Endoscopy·J RegulaE Butruk
Apr 1, 2003·Gastrointestinal Endoscopy·Roy M SoetiknoNib Soehendra
Aug 21, 2003·Endoscopy·U SeitzN Soehendra
Sep 19, 2003·Journal de chirurgie·M Mathonnet, V Fermeaux
Dec 29, 2004·Diseases of the Colon and Rectum·U SeitzN Soehendra
Jan 19, 2005·Techniques in Coloproctology·J RoseF Köckerling
Jul 9, 2005·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Roy SoetiknoTakuji Gotoda
May 1, 2007·Gastrointestinal Endoscopy·Tonya KaltenbachRoy Soetikno
Jun 15, 2007·Scandinavian Journal of Gastroenterology·Naila ArebiBrian P Saunders
Jul 13, 2007·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Andrew J Overhiser, Douglas K Rex
Mar 6, 2008·JAMA : the Journal of the American Medical Association·Roy M SoetiknoShai Friedland
Apr 29, 2008·Gastrointestinal Endoscopy·Takuji GotodaRoy Soetikno
Mar 3, 2009·Gastrointestinal Endoscopy·Mouen KhashabDouglas K Rex
Apr 29, 2009·World Journal of Gastroenterology : WJG·Shai FriedlandRoy Soetikno
Sep 15, 2009·Gastrointestinal Endoscopy·Michael P SwanStephen J Williams
Sep 15, 2009·Endoscopy·C LuigianoL Familiari
Nov 6, 2009·Gastrointestinal Endoscopy·Michelle A AndersonJason A Dominitz
Apr 26, 2016·Gastrointestinal Endoscopy·Abhishek BhurwalTimothy A Woodward
Citations
Mar 20, 2012·Gut·Zhongyao LiuThomas D Wang
Dec 29, 2015·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Nisha PatelJulian Teare
Oct 22, 2016·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Sarah K McGillTonya Kaltenbach
Aug 21, 2013·Journal of Clinical Gastroenterology·Prashant Kedia, Jerome D Waye
Dec 15, 2016·Turkish Journal of Medical Sciences·Zhimeng ShiHonggang Yu
Oct 18, 2019·ACG Case Reports Journal·Antonios WehbehDouglas K Rex
Apr 7, 2015·Clinical Endoscopy·Evangelos VoudoukisGregorios A Paspatis