Techniques

Techniques can be divided into the following two groups: "without suction" (freehand) and "with suction" ("cap" technique) (Table 6-1). Before performing EMR it is recommended to visualize the lesion margins. Chromoendoscopy with indigo carmine, methylene blue, or lugol for squamo-cellular cancer (SCC), and marking the periphery of the lesion with burn spot performed with the tip of the snare, facilitate EMR. The lesion can be removed in one single piece ("en bloc" resection), or in multiple fragments ("piecemeal"). Piecemeal resection increases the risk of recurrence.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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