Endoscopic Mucosal Resection (EMR)
Endoscopic en-bloc resection of early gastric cancer confined to the mucosa — organ-preserving and curative.
What is Endoscopic Mucosal Resection (EMR)?
Endoscopic Mucosal Resection (EMR) for early gastric cancer removes T1a tumours (confined to the mucosa without lymph node metastasis) endoscopically. A submucosal injection lifts the lesion, and a snare removes it en-bloc, preserving the entire stomach while achieving curative resection. Dr. Tagore Mohan Grandhi performs gastric EMR. EUS staging confirms T1a status before the procedure. All specimens are reviewed at MDT conference — if margins are clear and histology favourable, EMR is curative without gastrectomy.
How the Procedure Works
Lesion Characterisation
Magnification endoscopy with NBI confirms lesion morphology and EUS staging — confined to mucosa without submucosal invasion.
Lesion Marking
Electrosurgical coagulation dots placed 3–5 mm outside lesion margins to guide complete resection.
Submucosal Injection
Saline with dye injected beneath the lesion into the submucosa creating a safe resection plane.
Snare Resection
Diathermy snare placed around the lifted lesion and closed with electrocautery for en-bloc removal.
Histopathological Review
Entire specimen orientated and examined. Clear lateral and deep margins with favourable histology confirm curative resection.
Outcomes
Who Needs This Treatment?
- →Curative for T1a lesions with clear margins — no gastrectomy required
- →Organ-preserving — entire stomach maintained
- →No incision, no general anaesthesia for resection, no hospital admission beyond 1–2 days
- →Complete histopathological assessment of the entire resected specimen
EMR for early gastric cancer gives patients the remarkable outcome of a cancer cure without losing their stomach. When the staging is right and the technique is precise, EMR is as curative as gastrectomy for T1a lesions.
— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad
Common Questions
Frequently Asked Questions
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