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Endoscopic mucosal resection (EMR) for intramucosal carcinoma and endoscopic treatment for post-procedural perforation – a clinical case

Volume 10, Issue 2

Original Article / Published: November 2022


A. Katzarov, K. Sapundjiev, G. Hinkova, K. Katzarov

Clinic of Gastroenterology and Hepatology; Military Medical Academy, Sofia, Bulgaria


Endoscopic musical resection (EMR) is a mini-invasive, affordable and effective method for removing benign polyps and early carcinomas of the gastrointestinal tract. Compared to surgical treatment, it offers a safer alternative with better results and a faster recovery for the patient. Complications that may occur after polypectomy by EMR are amenable to endoscopic treatment with good success following the recommendations for endoscopic management after iatrogenic perforations. The presented clinical case proves that the risk of perforation increases with the size of the polyp, and that polypectomy in such cases should be performed by an experienced endoscopist and a trained team to ensure successful treatment.


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Volume 10, Issue 2


Endoscopic mucosal resection, EMR, complications, perforation, colorectal polyp, intramucosal carcinoma, endoscopic therapy

How to cite this article:

Katzarov A, Sapundjiev K, Hinkova G, Katzarov K. Endoscopic mucosal resection (EMR) for intramucosal carcinoma and endoscopic treatment for post-procedural perforation – a clinical case. Journal of Endourology and Minimally Invasive Surgery (Bulgaria), 2022; 10(2): 72-77

Corresponding author:

Dr G. Hinkova

Clinic of Gastroenterology and Hepatology
Military Medical Academy of Sofia

3 “Georgi Sofiiski” blvd.
Sofia 1606, Bulgaria

E-mail: Phone: +359 883 607 600