Endoscopic Mucosal Resection Cost in India

•  Endoscopic mucosal resection is used for diagnosis and treatment of abnormalities/early malignancies of the gastrointestinal tract. 
•  The procedure is also used for removing tissue samples for examination which will provide accurate staging of gastrointestinal neoplasms.
•  This technique is used for removing superficial gastrointestinal neoplasm/early stage gastrointestinal cancers through minimal invasion.
•  It can help to determine if cancer has grown beneath the tissues of the digestive tract lining. 
   

Your doctor will ask the following:

• Medicines that affect blood clotting or are immunosuppressive must be stopped 2 weeks prior to the surgery. 
• Any drug allergies or pre-existing medical conditions must be discussed with the treating doctor. 
• You must not eat or drink anything for 8-10 hours prior to the surgery.
• You may be given a laxative to clean the colon.
   

Endoscopic Mucosal Resection (EMR) is generally carried out as an outpatient procedure by an experience surgical gastroenterologist.

Commoly following is the approach:

• To begin with you will be asked to gargle a solution that will act as local anesthesia for your throat. This will be followed by sedatives to relax you during the procedure.
• The endoscope (a long narrow tube with a camera, light and other instruments attached to it) is inserted through the mouth up to the affected part of the gastrointestinal tract.
• When lesions have to be removed from the colon, the tube is guided through the anus.
• Then a fluid is injected below the lesion to lift it above the surrounding tissue and mucosa and then it is removed.
• In most cases, the area is marked for future examinations.
   

Clear liquids are given on the day of the surgery. Gradually semi solid diet will be introduced.  For next 1 to 2 days you may have a sore throat or cramps.

There is risk of excessive bleeding during the procedure. The wall of the digestive tract may get perforated during resection, especially when the lesion is a large one. Scarring may occur, which narrows the oesophagus and causes difficulty in swallowing.