Endoscopic Mucosal Resection Injection of solution into submucosal space to separate a mucosal lesion from muscularis propria followed by snare resection with electrosurgery Indication - Consider EMR for: - Lesions > 10mm, with: - No features of submucosal invasive cancer Goals of EMR: - Completely snare-resect lesion with minimum number of pieces - Adequate margins to avoid recurrence - Efficient and safe removal of colonic polyps • Predictors of Poor Outcome • Characterizing Lesions: JNET Classification • How to Snare • Tips on Submucosal Injection Dr. Enrik Aguila @enrrikke #Endoscopic #Mucosal #Resection #endoscopy #gastroenterology #management #EMR
