Training and Competency in Endoscopic Mucosal Resection

Endoscopic mucosal resection (EMR) should be the preferred method of removal for colonic laterally spreading lesions (LSLs) ≥ 2cm in size since it is safer, more efficient and more cost-effective than endoscopic submucosal dissection (ESD) or surgery. Although competent endoscopists should be comfortable in removing colonic lesions up to 2cm in size, removal of larger LSLs by modern EMR requires advanced skills and met iculous execution of systematic technique to minimize incomplete resection and subsequent interval cancer.
Source: Techniques in Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Source Type: research