- Upper GI
Endoscopic Mucosal Resection
Endoscopic Submucosal Dissection (ESD)
The online resource for the management of large and challenging endoscopic lesions.
Endoscopic Mucosal resection (EMR) and endoscopic sub-mucosal dissection (ESD) are rapidly emerging techniques for the treatment of early gatrointestinal neoplasia. They can be used for a wide range of purposes including the removal of.
1) High grade dysplasia within Barrett's
2) Early gastric cancers and submucosal lesions
3) Duodenal adenomas
4) Colonic adenomas
LST resections are complex and time consuming. It is important therefore that before undertaking this kind of work that the lesions are carfully assessed and the appropriate technique selected.
This website aims to explore the common indications for EMR and ESD and demonstrate the techniques through videos of actual endoscopic procedures. There are also pages explaining the requirements of the pathologist and the challenges faced in the reporting on the specimens produced by these techniques.