Premium
Endoscopic Mucosal Resection for Esophageal Cancer: EMR‐C Procedure
Author(s) -
YOSHIDA TATSUYA,
INOUE HARUHIRO,
KUDO SHINEI
Publication year - 2003
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1046/j.1443-1661.15.s.8.x
Subject(s) - medicine , endoscopic mucosal resection , perforation , esophageal cancer , resection , saline , surgery , cancer , materials science , punching , metallurgy
As a therapeutic modality for superficial esophageal cancer, endoscopic mucosal resection (EMR) is now thoroughly established. We routinely perform EMR using a cap (EMR‐C) procedure as a developer. In EMR‐C procedure, injection of a large volume of saline and a certain prelooping along the inner rim of the cap are vital issues for safe and reliable resection. In multi‐sessions of EMR, submucosal injection of saline prior to every session is essential, in order to avoid perforation. In such a manner, total circumferential EMR can be performed safely and easily by the EMR‐C procedure.