Endoscopic mucosal resection using ligating device for early gastric cancer.

The advent of EMR made a major change in the strategy for early gastric cancer. Recently, many modified EMR techniques have been developed, such as using an endoscopic cap, a special tube, and so forth. We regard EMR-L as the first-line procedure because of its simplicity and ease, and it is hoped that all endoscopists will learn this procedure to improve the quality of life of patients who suffer from gastric cancer.