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.
Suitable for patients with early gastric cancer (T1a, confined to mucosa) below 20 mm, well or moderately differentiated, without lymphovascular invasion, and without ulceration.
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
Endoscopic Mucosal Resection (EMR) Cost in Hyderabad
The cost of Endoscopic Mucosal Resection (EMR) in Hyderabad depends on factors such as the size and type of lesion, location in the colon, procedure complexity, and post-procedure monitoring requirements.
For patients with sessile or flat colon lesions, the approximate cost of Endoscopic Mucosal Resection ranges between ₹30,000 and ₹70,000.
| Procedure | Approximate Cost Range |
|---|---|
| Endoscopic Mucosal Resection (EMR) | ₹30,000 – ₹70,000 |
The final cost may vary depending on your individual condition, lesion characteristics, histopathology requirements, and additional procedures if needed.
Factors That Influence EMR Cost
The overall cost may depend on:
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Lesion size and characteristics: Flat or larger lesions may require specialised techniques and additional procedural planning.
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Pre-procedure evaluation: Colonoscopy findings, imaging, medical assessment, and preparation requirements may influence the overall cost.
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Histopathology evaluation: The removed tissue is examined to determine whether further treatment or monitoring is required.
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Post-procedure care: Observation, medications, and follow-up consultations may contribute to the overall treatment cost
Is EMR Covered by Insurance?
Endoscopic Mucosal Resection may be covered by insurance when performed for a medically necessary condition. Coverage depends on your insurance policy, insurer approval, and required documentation.
Our insurance support team can assist with policy verification, documentation, and cashless approval procedures.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tagore Grandhi
Orthopaedic & Joint Replacement Surgeon
During consultation, Dr. Tagore Mohan Grandhi, Bariatric & GI Surgeon at Lux Hospitals, will review your colonoscopy findings, symptoms, and investigation reports to determine whether EMR is suitable. He will explain the procedure, recovery expectations, and provide a personalised cost estimate based on your individual treatment needs.
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