Endoscopic Mucosal Resection

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Endoscopic mucosal resection (EMR) is an outpatient procedure that lets physicians remove tumors just beneath the gastrointestinal (GI) wall without surgery. Using an endoscope, a flexible, tube-like instrument, our GI Alliance gastroenterologists (physicians who specialize in treating the GI tract) can see inside the body with a high degree of detail. At the same time, they can remove growths such as upper GI or colon polyps that might otherwise require surgery. Most patients return home the same day. Because there is no incision, you may recover faster, and with less pain than from open or laparoscopic surgery. If you need to schedule an endoscopic mucosal resection or any other procedure designed to treat the GI tract, then contact your local GI Alliance experts.

Endoscopic mucosal resection is a less invasive alternative to surgery for removing abnormal tissues from the lining of the digestive tract. Your doctor may recommend the procedure to remove certain early-stage cancers or precancerous growths.

Some of the conditions that EMR has been used to treat include:

  • Barrett’s esophagus
  • Cancer of the small intestine (duodenum)
  • Colon polyps
  • Colorectal cancer
  • Esophageal cancer
  • Noncancerous growths of the uterus (leiomyomas)
  • Stomach (gastric) cancer

If you have any of the above conditions and would like to learn more about this procedure, contact GI Alliance.

Risks of endoscopic mucosal resection include:

  • Bleeding: This is the most common complication and can often be detected and corrected during the procedure.
  • Puncture (perforation): There is a slight risk of a puncture through the wall of the digestive tract, depending on the size and location of the lesion that is removed.
  • Narrowing of the esophagus: Removing certain esophageal lesions can increase the risk of scarring which narrows the esophagus, and may lead to difficulty swallowing and require further treatment.

Call your doctor or get emergency care if you develop any of the following signs or symptoms after you have an endoscopic mucosal resection:

  • Fever
  • Chills
  • Vomiting
  • Black stool
  • Bright red blood in the stool
  • Chest or abdominal pain
  • Shortness of breath
  • Fainting

You’ll have a follow-up appointment with your gastroenterologist at GI Alliance to discuss the outcome of your endoscopic mucosal resection and the results of any laboratory tests performed on tissue samples. Questions to ask your doctor include:

  • Were you able to remove all abnormal tissue?
  • What were the results of the laboratory tests? Do I have cancer?
  • Do I need to see a cancer specialist (oncologist)?
  • If I have cancer, will I need additional treatments?
  • How will you monitor my condition?

Typically, you will have another upper endoscopy or colonoscopy several months after your procedure to be sure the entire lesion is gone. During your first procedure, your doctor may mark the area of the removed lesion with ink (tattoo) so that the area can be easily checked during any future exams. The needs for additional appointments depend on the results of these findings.

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If your doctor has recommended the endoscopic mucosal resection for treatment of a GI tract condition, then you can trust the expert gastroenterologists at GI Alliance to provide you with the most advanced and patient-centric care possible. An endoscopic mucosal resection can help provide a less invasive alternative to surgery for removing abnormal or potentially cancerous tissue. If you would like to know more about this and other procedures to treat your GI tract condition, please contact your local experts through GI Alliance.

From the moment I walked in the door at 7:30 a.m. to the time I left to go home, I had a 5-star experience with Dr. Seetharam and his team. My first interaction at the Endoscopy Center was with the two receptionists, both of whom were warm and welcoming. They both put my anxiety at ease with their smiles. Next up was the team that took my vitals and inserted my IV. Again a terrific experience - both of these team members were very personable and any fears I had dissipated right away. The team inside the Endoscopy Room similarly displayed the same level of warmth and compassion as the team members that I previously interacted with - it is clear that all team members at the Center receive the highest level of patient care training. My last (but not least!) interaction was with Dr. Seetharam. He has one of the best bedside manners of any doctors I have ever interacted with. Again, like his other team members, he exudes warmth and compassion. Thank you to the Scottsdale Endoscopy Center for a 5-Star Experience!

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I really liked Dr. Piesman and I am glad that I was referred to him by another doctor. Dr. Piesman got my endoscopy done before I left town on a trip. The thing I liked the best was that he respected my thoughts on my health, even if he may not have agreed. My only complaint was that I felt rushed in my initial appointment and forgot a few other things I wanted to tell him. Other than that, I am very satisfied and look forward to discussing other aspects of my health with him.

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I have been a patient of Dr. Rau's for many years. She is the ABSOLUTE BEST!!!! She is always concerned and NEVER rushes you through your appointment. She listens and caringly gives you her advice. I recommend her to the world! Just love her! Her staff is very friendly also!

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