ENDO THERAPY
Endoscopic Mucosal Resection (EMR)
Introduction EMR
Endoscopic Mucosal Resection (EMR) is a minimally invasive procedure utilized for
removing abnormal tissue from the lining of the digestive tract. It is particularly
effective in managing early-stage gastrointestinal cancers and polyps.
EMR offers advantages such as reduced recovery time and lower risk compared to
traditional surgery, making it a preferred option for many patients. It is generally
recommended for lesions smaller than 20mm in diameter without lymph node
metastasis. This recommendation underscores EMR's suitability for early-stage lesions,
further solidifying its role as a valuable tool in gastroenterological practice.
EMR Procedure
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step 01
Injection
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Saline is injected into the submucosa beneath the lesion
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step 02
Snaring
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The snare is positioned around the lesion
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step 03
Resection
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The snare is tightened to capture the lesion and cut the mucosal layer
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step 04
Retrieval
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The resected lesion is retrieved using the endoscope or a retrieval device
Clinical Issues of EMR
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Low En-bloc Resection Rate
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EMR has the advantage of being a relatively simple procedure and having a low perforation rate
However, in EMR, the larger the lesion, the lower the En-bloc rate
If the En-bloc resection rate of EMR can be increased, it should be a good treatment for lesions smaller than 20 mm
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Endorobotics Solution for EMR
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Rolling-Channel is an auxiliary channel solution that can easily transform a typical single-channel endoscope into a dual-channel endoscope.
Treatment can be performed by additionally inserting various instruments such as forceps, snares, needles, and knifes.
The biggest feature is that the auxiliary channel rotates around the endoscope to support optimized work in a wider variety of environments.
