Endoscopic Mucosal Resection (EMR)
Advanced endoscopic technique to remove larger flat polyps and early lesions during colonoscopy — fluid is injected beneath the polyp, lifting it for safer, complete removal.
What is Endoscopic Mucosal Resection (EMR)?
Endoscopic Mucosal Resection (EMR) is an advanced endoscopic technique to remove larger flat polyps, sessile polyps and select early lesions of the colon, rectum, or upper gastrointestinal tract during endoscopy. A solution is injected beneath the polyp to lift it from the deeper muscle layer, and the polyp is then removed with a snare in one piece or in pieces. EMR allows safe and effective removal of larger lesions that cannot be removed by simple polypectomy. As an experienced proctologist in Hyderabad, Dr. Tejasree Vengala coordinates EMR at Lux Hospitals, Hyderabad, in close collaboration with experienced endoscopists.
How the Procedure Works
Bowel Preparation
The bowel is cleansed thoroughly using a prescribed bowel preparation regimen the day before the procedure.
Sedation & Endoscopy
The procedure is performed under sedation. The endoscope is inserted to clearly visualise the lesion.
Submucosal Injection
A solution (often containing dye and adrenaline) is injected beneath the lesion to lift it from the underlying muscle layer.
Snare Resection
A wire snare captures the lifted lesion, and electrical current cleanly resects it. Larger lesions may be removed in pieces (piecemeal EMR).
Specimen Retrieval & Closure
All resected tissue is retrieved for biopsy. The base may be inspected, treated to control any bleeding, and closed with clips if needed.
Outcomes
Who Needs This Treatment?
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Effective removal of larger flat polyps without surgery
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Avoids open or laparoscopic colon surgery
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Day-care procedure under sedation
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All specimens sent for biopsy assessment
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Quick return to routine activities
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Excellent option for select early lesions
EMR is wonderfully underrated — large polyps that would otherwise need bowel resection can often be removed cleanly during colonoscopy itself. Lift, snare, retrieve, biopsy, plan the next step. For the right lesion, it is a beautiful piece of minimally invasive medicine.
— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Endoscopic Mucosal Resection (EMR) Cost in Hyderabad
The cost of endoscopic mucosal resection (EMR) in Hyderabad depends on the size, location, and characteristics of the lesion or polyp, complexity of the procedure, endoscopic equipment required, investigations, and the care needed before and after treatment.
For patients requiring endoscopic removal of suitable superficial gastrointestinal or colorectal lesions, the approximate cost of EMR ranges between ₹40,000 and ₹90,000.
| Procedure | Approximate Cost Range |
|---|---|
| Endoscopic Mucosal Resection (EMR) | ₹40,000 – ₹90,000 |
The final cost may vary depending on your individual condition, findings during evaluation, size and location of the lesion, removal technique used, and whether any additional procedures are required.
Factors That Influence Endoscopic Mucosal Resection (EMR) Cost
The overall cost may depend on:
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Size and location of the lesion: The size, location, depth, and characteristics of the lesion may influence treatment planning and procedural complexity.
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Pre-procedure evaluation: Required endoscopy or colonoscopy, biopsy, imaging when needed, blood tests, and medical assessments before the procedure may affect the overall cost.
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Procedure complexity: Larger or technically difficult lesions may require additional endoscopic techniques or specialised equipment, which can influence the cost.
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Additional procedures: If biopsy, polypectomy, haemostasis, or other endoscopic interventions are required during the same procedure, the cost may vary.
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Post-procedure care: Observation, medicines, dietary guidance, pathology evaluation, and follow-up requirements may influence the final estimate.
Is Endoscopic Mucosal Resection (EMR) Covered by Insurance?
EMR may be covered by health insurance when it is performed for a medically necessary gastrointestinal or colorectal condition. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before treatment.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tejasree Vengala
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Tejashree Vengala, General & Laparoscopic Surgeon in Hyderabad, will evaluate your symptoms, medical history, and investigation reports to determine whether EMR is suitable for you. She will explain the procedure, expected outcomes, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
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Not sure which treatment is right for you?
Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.