The future development of endoscopic mucosal resection (EMR) is dependent on addressing its limitations, exploring new applications, and improving safety and technical ease. The newly described technique of widespread EMR allows for resection of lesions greater than 20 mm in a single, en bloc resection, obviating the need for multiple piecemeal resections. Safety of EMR may be significantly improved by identifying an injectable solution capable of creating a more durable protective submucosal cushion, which is essential for prolonged procedures. As EMR technology becomes more complex, necessitating the use of multiple accessories simultaneously, technical ease may be enhanced by simple adjunct devices such as a flexible endoscope stand. The future challenges for EMR will undoubtedly include resection of circumferential lesions without stricture formation and resection of lesions deep to the submucosa.
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging