About Endoscopic Mucosal Resection
Key Highlights
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Minimally invasive procedure with no external incisions.Highly effective for removing early-stage cancers and large pre-cancerous polyps.Preserves the organ, avoiding major surgery and its associated risks.Typically performed as a day procedure or with a very short hospital stay.Faster recovery and return to normal activities compared to traditional surgery.Lower risk of complications like infection and bleeding.liProvides a complete tissue sample for accurate pathological diagnosis./li/ul
Who is this surgery for?
- Removal of large colorectal polyps (adenomas) not suitable for standard polypectomy.
- Treatment of early-stage esophageal, gastric (stomach), or colorectal cancers confined to the mucosal layer.
- Removal of dysplastic (abnormal pre-cancerous) tissue in Barrett's esophagus.
- Resection of certain subepithelial tumors or lesions in the GI tract.
- Diagnostic and therapeutic removal of lesions where the pathology is uncertain.
How to prepare
- Comprehensive consultation and review of medical history and prior imaging (like endoscopy/colonoscopy reports).
- Bowel preparation (strong laxatives) is required for procedures in the colon/rectum to ensure a clear view.
- Fasting for 6-8 hours before the procedure for upper GI EMR (nothing to eat or drink).
- Adjustment or temporary cessation of certain medications, especially blood thinners (e.g., aspirin, warfarin, clopidogrel) as advised by the doctor.
- Arranging for someone to drive the patient home after the procedure due to sedation effects.
Risks & possible complications
- Bleeding at the resection site, which may sometimes require further endoscopic treatment.
- Perforation (a small tear) in the GI tract wall, which is uncommon but may require surgical repair.
- Post-procedure pain, cramping, or a sore throat.
- Reactions to sedative medications used during the procedure.
- Incomplete resection, potentially requiring a repeat procedure.
- Stricture (narrowing) formation at the healing site, especially in the esophagus.
- Recurrence of the lesion, necessitating regular follow-up surveillance endoscopies.
Recovery & hospital stay
- Observation in recovery for 1-2 hours post-procedure until sedation wears off.
- Diet typically starts with clear liquids, advancing to soft foods as tolerated on the same day or the next.
- Mild bloating, gas, or cramping is common and resolves quickly.
- Avoid strenuous activity, heavy lifting, and driving for 24-48 hours.
- Patients are advised to watch for and report severe abdominal pain, fever, chills, or significant rectal bleeding.
- A follow-up appointment is scheduled to discuss pathology results and plan any necessary further treatment or surveillance.
- Most patients can resume normal daily activities within a few days.
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Typical hospital stay: 0-1 days (Typically outpatient/day care)
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Expected recovery time: 3-7 days for normal activities; full tissue healing takes 2-3 weeks
Frequently Asked Questions
If you are considering endoscopic mucosal resection in India, these questions and answers can help you make a confident, informed decision.
Popular choices for endoscopic mucosal resection in India include Miot Hospital Chennai, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform endoscopic mucosal resection. MediFyr helps you compare surgical gastroenterologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for endoscopic mucosal resection compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 40 Thousand – 150 Thousand | 0-1 days (Typically outpatient/day care) | ~ 3-7 days for normal activities; full tissue healing takes 2-3 weeks | Know More |
| Turkey | TRY 140 Thousand – 525 Thousand | 0-1 days (Typically outpatient/day care) | ~ 3-7 days for normal activities; full tissue healing takes 2-3 weeks | Know More |
Top hospitals for Endoscopic Mucosal Resection in India
These partner hospitals in India have dedicated surgical gastroenterology teams and experience managing patients undergoing endoscopic mucosal resection.
Sai Johnson, a 58-year-old high school...
Sai Johnson, a 58-year-old high school history teacher, had always been diligent about his health. During a routine colonoscopy, his gastroenterologist discovered a large, flat polyp in his sigmoid colon that was too big for standard removal. The biopsy showed it was a precancerous adenoma with high-grade dysplasia. Sai was shocked, as he had no symptoms, no pain, no bleeding. His doctor, a surgical gastroenterologist, explained that Endoscopic Mucosal Resection (EMR) was the best option to remove the entire lesion in one piece, preventing it from developing into cancer and avoiding major surgery. The procedure itself was done under sedation. Sai remembers little, just waking up feeling groggy. The recovery involved a clear liquid diet for a day and mild cramping. The pathology report came back a week later confirming complete removal with clear margins. Emotionally, Sai went from initial fear and anxiety about a 'silent' threat inside him to immense relief and gratitude. He felt he had dodged a major bullet and became a passionate advocate for routine screenings among his colleagues and friends.
Surgical Gastroenterologists for Endoscopic Mucosal Resection
Explore experienced surgical gastroenterologists who regularly perform endoscopic mucosal resection and provide pre- and post-operative care in India.
- 35 Years Experience
- Surgical Gastroenterologist
Miot Hospital Chennai, Chennai
- 10 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Sarjapur Road, Bangalore
- 33 Years Experience
- Surgical Gastroenterologist
- 19 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Whitefield, Bangalore
- 17 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Whitefield, Bangalore
- 16 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Old Airport Road, Bangalore
- 25 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Vijayawada, vijayawada
- 11 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Vijayawada, vijayawada
- 16 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Malleshwaram, Bangalore
- 13 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Malleshwaram, Bangalore
- 13 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Jayanagar, Bangalore
- 12 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Jayanagar, Bangalore
- 30 Years Experience
- Gastroenterologist
SIMS Hospital Vadapalani, Chennai
- 25 Years Experience
- Surgical Gastroenterologist
SIMS Hospital Vadapalani, Chennai
- 29 Years Experience
- Surgical Gastroenterologist
SIMS Hospital Vadapalani, Chennai
- 18 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Hebbal, Bangalore
- 22 Years Experience
- Surgical Gastroenterologist
Kamineni Hospital, Tadigadapa, vijayawada
- 4 Years Experience
- Surgical Gastroenterologist
Kamineni Hospital, King Koti, Hyderabad
- 14 Years Experience
- Surgical Gastroenterologist