Endoscopic Mucosal Resection
In Singapore

Unsure if Endoscopic Mucosal Resection is right for you? Consult with a specialist today.

Dr Jonathan Foo Shuo Min
Senior Consultant General Surgeon

What Is EMR?

A minimally invasive therapeutic procedure employed in the removal of precancerous or early-stage cancerous growths in the digestive tract. This includes the oesophagus, stomach, and colon. EMR serves as a remarkable alternative to more invasive surgery, aiding in both the diagnostic process and therapeutic intervention.

Reasons For Doing EMR

  • Remove abnormal tissues in the digestive tract, which could include polyps, noncancerous growths, early-stage cancers, or lesions.
  • Extract samples for biopsy to confirm a diagnosis of cancer or other conditions.

Am I Eligible For EMR?

EMR eligibility is dependent on a number of factors including:

  • Patient’s overall health status
  • The size and characteristics of the growth to be removed
  • Location of growth within the digestive tract

EMR Procedure

During the EMR procedure, an endoscope—a flexible tube equipped with a light and camera—is inserted through the mouth or rectum to reach the area of interest. A specialized tool attached to the endoscope is then used to lift the abnormal tissue with a solution or air, followed by its resection or removal. This process allows the physician to extract the growth in one piece, which not only eliminates the lesion but also provides a specimen for further pathological examination.

Recovery & Aftercare Guide

The recovery from EMR is usually swift, with most patients being discharged on the same day. Aftercare may involve:

  • Temporary dietary modifications to allow the resection site to heal
  • Follow-up endoscopy to ensure complete removal of the lesion
  • Regularly monitoring for recurrence of the growth or any potential complications arising post-procedure

 

Risks & Complications

Bleeding

A common risk associated with EMR is bleeding at the site of resection. Although often minor and self-limiting, it may necessitate further intervention in rare instances.

Perforation

There’s a small risk of a tear or perforation in the wall of the digestive tract, which if occurs, requires immediate medical attention and possibly surgery.

Infection

Although rare, there is a risk of infection after the procedure, which would be managed with appropriate antibiotics.

Pain or discomfort

Some patients may experience transient pain or discomfort following the procedure, typically managed with over-the-counter or prescribed medications.

Dr Jonathan Foo Shuo Min

Dr Jonathan Foo Shuo Min

Senior Consultant General Surgeon

Dr Jonathan Foo has expertise in managing various General Surgical and Colorectal conditions. He excels at advanced endoscopic, open and minimally invasive (“key-hole”) techniques, as well as robotic surgery.

Dr Foo is a specialist Colorectal surgeon with comprehensive training in other minimally invasive(laparoscopic) General Surgical conditions such as hernia repair and gallbladder surgery.

  • MBBS (Bachelor of Medicine & Surgery, NUS) 2002
  • MRCSEd (Membership of the Royal College of Surgeons of Edinburgh) 2007
  • MMed (Master of Medicine in Surgery) 2008
  • Further Advanced Training At the Minimally Invasive Colorectal Unit in Portsmouth, UK

Dr Foo firmly believes that every surgical procedures must be customized to the individual in order to achieve an optimal outcome for his patients.

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    Endoscopic Mucosal Resection In Singapore

    Frequently Asked
    Questions

    How long does an EMR procedure take?

    The procedure typically lasts between 30 minutes to 1 hour, although the duration may vary depending on the size and location of the lesion being removed.

    Is EMR a painful procedure?

    While the procedure itself is generally painless due to sedation, some discomfort may be experienced during the recovery period.

    How soon can I resume normal activities after EMR?

    Many patients can return to their normal activities within a day or two after the procedure. However, the exact timeline may depend on the individual’s overall health and the specifics of the procedure performed.

    Will I need repeat procedures after EMR?

    The need for repeat procedures largely depends on the nature of the lesion, its size, and whether it was completely removed during the first procedure. Regular follow-up endoscopies are often conducted to ensure complete removal and monitor for any recurrence.