EMR and ESD in Ankara – Advanced Endoscopic Treatment
What are EMR and ESD?
EMR and ESD are advanced endoscopic techniques for removing selected superficial digestive tract lesions. EMR means endoscopic mucosal resection. ESD means endoscopic submucosal dissection. The specialist chooses the method after assessing the lesion and your health.
Assoc. Prof. Dr. Muharrem Taşkoparan assesses suitable patients for EMR and ESD in Ankara. He performs advanced endoscopic treatment at his YDA Center clinic. However, not every lesion is suitable for endoscopic removal.
How does EMR work?
EMR targets suitable superficial or flat lesions. The doctor may inject fluid beneath a lesion before removing it. Depending on size and shape, he removes it in one piece or several pieces. For example, selected large colon polyps may suit this approach.
How does ESD differ?
In ESD, the doctor carefully dissects beneath the lesion. This can allow one-piece removal of selected larger or complex lesions. In addition, one-piece tissue can help the pathologist assess the margins and depth. ESD requires advanced expertise and careful patient selection.
Which lesions may suit these methods?
The specialist may assess lesions in the oesophagus, stomach, duodenum, colon or rectum. He considers size, location, surface features and pathology. Suspected invasion depth also matters. Therefore, size alone cannot determine the best treatment.
How does the specialist choose treatment?
First, he reviews earlier endoscopy images and pathology reports. He also considers imaging results and your medical history. Then he discusses suitable options. These may include polypectomy, EMR, ESD or surgery.
However, deeper invasion or other unsuitable features may favour surgery. A gastroenterology second opinion can help you understand the alternatives before a major decision.
Risks and follow-up
Advanced resection carries risks such as bleeding and perforation. The lesion’s position, size and treatment extent affect those risks. Therefore, the specialist explains expected benefits and possible complications before treatment.
After the procedure, pathology helps guide the next steps. Some patients need additional treatment or surgery. Others need endoscopic follow-up. The doctor makes this plan according to individual findings.
Frequently asked questions
Does every large polyp need surgery?
No. Some suitable lesions have endoscopic treatment options. However, other lesions need surgery. A detailed assessment helps determine the appropriate approach.
Is ESD always better than EMR?
No. The methods serve different clinical needs. The doctor chooses according to the lesion’s features and your situation.
Will I need surgery after EMR or ESD?
Not always. The doctor reviews whether removal was complete and checks pathology. Then he decides whether further treatment is necessary.
Your specialist in Ankara
Assoc. Prof. Dr. Muharrem Taşkoparan is a Gastroenterology and Internal Medicine Specialist. Bring previous reports, images and pathology results to your appointment at YDA Center. Also read about endoscopy and colonoscopy for diagnostic background.
