Endoscopic Mucosal Resection (EMR)

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Your physician will instruct you on which medications to take depending on the location of your EMR (esophagus, stomach, or bowel)

Diet: Esophagus

• Day 1: You will have nothing by mouth the day of your procedure.
• Day 2: You can have liquids and gelatins (eg: Jello, popsicles, or any thin liquid) the day following your procedure.
• Day 3: Advance diet to thick liquids (eg: soups, pudding, smoothies).
• Day 4-7: You can advance your diet to solids, as tolerated.

Diet: Stomach and Colon

• Day 1: You may have ice chips and sips of water but no full meals.
• Day 2: You will begin with liquids and advance to a full diet throughout the day.

If your ESD was in the esophagus, you may have ongoing discomfort with swallowing for upwards of 10 days after the procedure. You should continue to take your proton pump inhibitor (acid lowering medication) and viscous lidocaine for symptomatic relief.

Return to the Emergency Room if you experience any of the following:

• Throwing up or vomiting blood
• Bloody or black, tarry bowel movements
• Severe abdominal pain or chest pain
• Intractable nausea or vomiting
• Fever > 38.5°C

You will have a phone call with your physician 1-4 weeks after the procedure and will discuss when your next endoscopy will be (timing dependent on where your EMR was and what the pathology specimen shows).