EMR and ESD: Indications, techniques and results

Mamoon Ur Rashid; Mohammad Alomari; Sadaf Afraz; Tolga Erim

doi:10.1016/j.suronc.2022.101742

EMR and ESD: Indications, techniques and results

Surg Oncol. 2022 Aug:43:101742. doi: 10.1016/j.suronc.2022.101742. Epub 2022 Mar 18.

Authors

Mamoon Ur Rashid¹, Mohammad Alomari¹, Sadaf Afraz¹, Tolga Erim²

Affiliations

¹ Department of Gastroenterology, Hepatology and Nutrition, Cleveland Clinic Florida, Weston, FL, 33331, USA.
² Department of Gastroenterology, Hepatology and Nutrition, Cleveland Clinic Florida, Weston, FL, 33331, USA. Electronic address: erimt@ccf.org.

PMID: 35370049
DOI: 10.1016/j.suronc.2022.101742

Abstract

Endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) are two well-known endoscopic resection procedures used for advance gastrointestinal lesions. As compared to standard polypectomy techniques, EMR and ESD provide wider and deeper resection margins and allow en bloc removal of lesions for more detailed pathology with curative intent for early neoplastic gastrointestinal lesions. Both procedures have their advantages and disadvantages which will be discussed in detail in this review article. Recently there have been advancements in the techniques of EMR and ESD with addition in new equipment. We will also discuss current guidelines recommending use of EMR and/or ESD in various clinical scenarios.

Keywords: Cold EMR; Colorectal neoplasia; Complications; Endoscopic mucosal resection; Endoscopic submucosal dissection.

Publication types

Review

MeSH terms

Endoscopic Mucosal Resection* / methods
Humans
Treatment Outcome