Endoscopic Mucosal Resection
Endoscopic Mucosal Resection – A Pillar of Therapeutic Endoscopy
Mastering Endoscopic Mucosal Resection (EMR) is a fundamental skill for the modern gastroenterologist and interventional endoscopist, representing a critical leap from diagnostic to advanced therapeutic procedures. This technique allows for the minimally invasive removal of large, flat, or sessile lesions from the gastrointestinal tract, playing a crucial role in cancer prevention and treatment. MEDtube, the world’s leading e-learning platform for medical professionals, offers a definitive video library dedicated to this advanced procedure. This collection is an invaluable resource for specialists and fellows seeking to refine their technique, understand its nuances, and learn to manage its potential complications through high-quality, expert-led demonstrations.
From Piecemeal Technique to Complication Management: A Procedural Deep Dive
This extensive video collection provides a deep, procedural dive into the real-world application of EMR across the entire colon. Our library excels in showcasing the management of large and challenging lesions, particularly Laterally Spreading Tumors (LSTs), in difficult-to-access locations such as the cecum, hepatic flexure, and rectum. You will find meticulous, step-by-step guides that break down the core EMR process: from submucosal injection to create a safe cushion, to snare resection and the use of argon plasma coagulation (APC) for residual tissue.
Explore a spectrum of advanced techniques, including the widely used piecemeal EMR for very large lesions, and innovative approaches like Underwater EMR, which can be particularly effective for certain polyp morphologies. A critical focus of this collection is on procedural safety and the management of adverse events. Witness real-world cases of intraprocedural EMR bleeding and, more importantly, learn proactive strategies to mitigate these risks, such as the application of clip closure post-resection to prevent delayed bleeding. This library provides the visual detail needed to understand the subtle decision-making that separates a standard procedure from a masterfully executed one.
Enhance Your Resection Skills with the MEDtube Community
Engaging with MEDtube’s content is a direct investment in your procedural skill, patient safety, and clinical confidence. Each video is a peer-reviewed guide from a global expert, ensuring you have access to credible, safe, and up-to-date techniques. By registering, you gain more than just viewing access; you can create personalized playlists of complex EMR cases, join expert-led discussions, and learn from a global community of interventional endoscopists. Don’t just read about managing a large LST—see it resected by a master. Register for free on MEDtube today to gain unlimited access to our entire video library on Endoscopic Mucosal Resection and elevate your therapeutic endoscopy practice.
Snare Tip Pre-cut for Endoscopic Mucosal Resection...
Snare tip pre-cut for endoscopic mucosal resection (mucosectomy) can be an alternative for ESD.
Underwater EMR
Underwater Mucosectomy (UM) is an advanced endoscopic technique used to remove mucosal lesions in the colon or rectum without the need for submucosal injection. It is a variation of Endoscopic Mucosal...
"Play by one's rules" - Large...
The case of a patient with large (LST-G) laterally spreading spreading tumor located in a colonic flexure. Very unstable endoscope position enabling only piecemeal endoscopic mucosal resection...
Endoscopic Mucosal Resection (EMR) in the Management...
Colonoscopic polypectomy plays a major role in preventing colo-rectal cancer. However, resection of sessile, broad-based pedunculated and flat lesions carries a high risk of perforation. Prophylactic...
Clip Closure to Prevent Adverse Events After...
Video case endoscopy: delayed bleeding is a common adverse event following endoscopic mucosal resection (EMR) of large colorectal polyps. Prophylactic clip closure of the mucosal defect before EMR of...
Sigmoid Colon Endoscopic Mucosal Resection
Endoscopy case: EMR allows the removal of tissue to the level of the muscularis propria and is a good alternative to surgery, thereby eliminating the need for surgical intervention and its associated...
EMR Rectal Polyp In Retroflexion
Video case: difficult position of a large rectal polyp excised using Endoscopic Mucosal Resection technique in retroflextion view.
EMR 5 cm Seesile Colon Polyp
Video case: endoscopic mucosal resection of a large laterally spreading colon polyp at the hepatic flexure of colon.
Colonoscopy: Sigmoid Colon Polyp Resection After...
The video shows sigmoid polyp EMR (endoscopic mucosal resection) after two prior incomplete resections.
Colonoscopy: Transverse Colon EMR
The video shows endoscopic mucosal resection of adenomas located in transverse colon.
Colonoscopy: Transverse colon EMR - 12 O' Clock...
The video shows the resection technique of polyp located in particularly difficult position.
Colonoscopy: Rectum - Large Flat Lesion - Subtle...
Resection of a LST-G of the rectum. Due to failure to lift the lesion, its margin was coagulated with argon and then resected using EMR technique.
Colonoscopy Gone Awry - Asc Col EMR Bleeding...
This video shows bleeding during the endoscopic mucosal resection in ascending colon.
Colonoscopy: Failed resection 2
Another case of a patient with a large polyp. Resection was deferred due to inconvenient location of the polyp. The biopsy was performed.
Colonoscopy: Large Rectal Polyp Resection
A middle aged patient was referred to surgical department for low anterior resection. However, the lesionwas resected using endoscopic mucosal resection to avoid surgery.