The Evolution and Challenges of EMR in 2024

EMR has significantly evolved by 2024, offering new possibilities but also presenting challenges like post MR bleeding and difficulties in cold mechanical closure. Prophylactic clip closure can help reduce post-op bleeding in specific situations. Thermal ablation shows promise in reducing recurrence rates, with technique and margin being crucial. ESD allows for longer surveillance intervals, but thorough colonic assessment is necessary. A structured fellowship can help practitioners navigate these issues.