NCCN Guidelines for Patients
Esophageal Cancer, Version 1.2016
Overview of cancer treatments Endoscopic treatment
Sometimes EMR is all that is needed to remove
a tumor. Other times, the tissue removed by EMR
helps with diagnosis but more treatment is needed.
Some tumors may be removed in multiple pieces with
EMR. However, the larger and deeper a tumor is, the
higher the risk of the tumor returning (recurrence).
Therefore, an expert endoscopist will only perform
EMR on people who are most likely to benefit.
EMR requires that you be sedated but some people
do receive general anesthesia. The procedure can
take about 1 hour to complete. EMR is generally an
outpatient procedure. However, you may stay in the
hospital for 1 or 2 days.
issection) is a newer
type of endoscopic treatment that is more extensive
than EMR. It is likely the preferred method for
removing deeper, early esophageal tumors.
ESD removes a tumor in one piece with special
knives. Removing the tumor in one piece reduces
the chance of the tumor returning. This is a very
challenging procedure to do. ESD is generally only
done at centers that specialize in such procedures.
Only a small group of people with esophageal cancer
are able to have this treatment.
ESD is often performed under general anesthesia.
The procedure may take 2 to 4 hours to complete.
You may stay in the hospital for a few days or up to 5
days if there are major complications like a tear in the
esophageal wall. After healing, your esophagus will
likely work almost as well as before since only the first
layer of the esophageal wall is removed.
Esophageal tumors that have
not invaded deep into the
esophageal wall may be removed
with endoscopic resection.
This treatment removes tumors
with tools inserted through an
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