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How can endoscopic mucosal resection treat Barrett's esophagus?

Lyall A. Gorenstein, MD
Thoracic Surgery (Cardiothoracic Vascular)
Patients with Barrett's esophagus who develop mucosal carcinoma or focal lesions of high-grade dysplasia are benefiting from endoscopic mucosal resection (EMR). EMR is performed through the endoscope, and involves injection of a solution under the Barrett's lining or applying suction to remove it, much like a colon polyp. While this procedure cannot remove all of the Barrett's lining, EMR can be used to remove a small cancer or a localized area of high-grade dysplasia. Endoscopic ultrasound is used to judge whether EMR is appropriate and is also effective for staging, providing definitive evidence on the depth of the tumor.

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