Endoscopic mucosal resection for esophageal cancer

Haruhiro Inoue, Masaki Fujimoto, Norio Fukami, Tatsuya Yoshida, Shin Ei Kudo

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Endoscopic mucosal resection (EMR) is at present the only endoscopic ablation treatment that provides a specimen for histologic analysis. By histologic precise evaluation of the resected specimen, the final treatment strategy for the disease can be decided. Generally, mucosal cancer with no lymph node metastasis is the best candidate for this procedure. We developed a technique of EMR by using a transparent plastic cap (EMRC) in 1992. By using this technique, any part of esophageal mucosa can be easily accessed and safely resected. In this chapter, we discuss indications for EMR, technical details of the EMRC procedure, our clinical results, and how to prevent complications. From 1989 to 2000, we have performed more than 250 cases of EMR in the esophagus. One perforation occurred in the esophagus. Insufficient submucosal saline injection was considered to be a major factor leading to the perforation. Therefore, large-volume injection is strongly recommended because it creates a large bleb and potentially reduces the risk of muscle involvement. By careful adherence to this point, EMR can be safely performed in any part of the esophagus by using a cap.

Original languageEnglish (US)
Pages (from-to)23-27
Number of pages5
JournalTechniques in Gastrointestinal Endoscopy
Volume4
Issue number1
DOIs
StatePublished - Jan 1 2002
Externally publishedYes

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Esophageal Neoplasms
Esophagus
Injections
Blister
Plastics
Lymph Nodes
Endoscopic Mucosal Resection
Neoplasm Metastasis
Muscles
Therapeutics
Neoplasms

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

Cite this

Endoscopic mucosal resection for esophageal cancer. / Inoue, Haruhiro; Fujimoto, Masaki; Fukami, Norio; Yoshida, Tatsuya; Kudo, Shin Ei.

In: Techniques in Gastrointestinal Endoscopy, Vol. 4, No. 1, 01.01.2002, p. 23-27.

Research output: Contribution to journalArticle

Inoue, Haruhiro ; Fujimoto, Masaki ; Fukami, Norio ; Yoshida, Tatsuya ; Kudo, Shin Ei. / Endoscopic mucosal resection for esophageal cancer. In: Techniques in Gastrointestinal Endoscopy. 2002 ; Vol. 4, No. 1. pp. 23-27.
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