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At Tulsa Gastrointestinal Consultants (TGiC), we specialize in Endoscopic Mucosal Resection (EMR)—a safe and effective procedure to remove abnormal or precancerous tissue from the digestive tract. If your doctor has recommended an EMR, you likely have questions about what to expect. Our team is here to guide you through every step, ensuring comfort and clarity.

Call us today at (918) 438-7050 to schedule your consultation!

What Is Endoscopic Mucosal Resection (EMR)?

Endoscopic Mucosal Resection is a minimally invasive procedure used to remove abnormal or cancerous growths from the lining of the esophagus, stomach, or colon. Instead of surgery, this technique uses an endoscope—a thin, flexible tube with a camera—to visualize and remove the lesion through the mouth or rectum.

Find out if capsule endoscopy is right for you! Call (918) 438-7050 today.

Why Is EMR Performed?

EMR is commonly performed to remove precancerous or early-stage cancer lesions from the gastrointestinal (GI) tract. It may be recommended for:

• Colon polyps too large for standard polyp removal
• Barrett’s esophagus with dysplasia (precancerous cells in the esophagus)
• Early-stage esophageal or stomach cancer
• Benign but concerning GI growths

EMR helps patients avoid major surgery, promoting quicker recovery while effectively treating abnormal tissue.

Need help preparing? Call us at (918) 438-7050 for assistance.

Why Is EMR Performed?

Proper preparation is essential for a smooth and successful procedure.

• Fasting: You will need to stop eating and drinking for at least 6 to 8 hours before the procedure.
• Medication Adjustments: Certain medications (blood thinners, diabetes medications, etc.) may need to be paused—consult with your doctor before making any changes.
• Bowel Preparation (for Colon EMR): If the procedure is performed on the colon, you may need to follow a bowel cleansing regimen.
• Arrange Transportation: Since sedation is used, a responsible adult must drive you home after the procedure.

Need help preparing? Call us at (918) 438-7050 for assistance.

What to Expect During and After the Procedure

During the Procedure

• You will receive sedation or anesthesia to ensure comfort.
• The doctor will insert an endoscope through the mouth or rectum to access the abnormal tissue.
• A small amount of fluid may be injected beneath the lesion to lift it for easier removal.
• The lesion is carefully removed with specialized instruments, and the area is treated to reduce bleeding risk.

The entire procedure typically takes 30 to 60 minutes, depending on the lesion’s size and location.

After the Procedure

• Recovery: You’ll rest in a recovery area until the sedation wears off (usually about an hour).
• Diet: Start with clear liquids, then gradually resume a normal diet as tolerated.
• Temporary Symptoms: Mild sore throat (if done via the esophagus) or minor bloating/cramping may occur.
• Follow-up: Biopsy results are usually available within a few days, and your doctor will discuss further treatment if necessary.

Call your doctor if you experience:

• Severe abdominal pain
• Vomiting blood or passing black stools
• Fever over 100.4°F
• Difficulty swallowing (if the procedure was in the esophagus)

Don’t wait to get answers about your digestive health! Schedule your capsule endoscopy today.

Is EMR Safe? Understanding Risks and Benefits

EMR is a safe and well-tolerated procedure, but as with any medical treatment, there are some risks, including:

• Bleeding (usually minor and managed during the procedure)
• Perforation (rare) – a small tear in the GI lining, which may require further treatment
• Stricture (narrowing of the esophagus) – if a large area is removed, requiring follow-up care

At Tulsa Gastrointestinal Consultants, our expert GI specialists use the latest techniques to minimize risks and ensure the highest level of care.

​1. Is Endoscopic Mucosal Resection painful?

No, the procedure itself is painless because sedation or anesthesia is used. Some patients experience mild discomfort, such as bloating or a sore throat, afterward.

2. How long is the recovery time?

Most patients can resume normal activities the next day, but if a large lesion was removed, recovery may take a few extra days. Avoid heavy lifting or strenuous exercise for at least 24 to 48 hours.

3. Will I need additional treatment after EMR?

It depends on biopsy results. If the removed tissue is precancerous or cancerous, your doctor will discuss further steps, such as surveillance endoscopies or additional treatments.

4. How effective is EMR for removing abnormal tissue?

EMR is highly effective for removing precancerous and early cancer lesions, with success rates exceeding 90% in properly selected patients.

5. How do I know if I am a candidate for EMR?

Your gastroenterologist will determine if EMR is right for you based on imaging, biopsy results, and lesion size/location. In many cases, it is an excellent alternative to surgery.