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We read with interest the recent clinical case by Sarkar et al1 and subsequent letter by Ignjatovic and Saunders,2 where the use of gelofusine and the endoscopic mucosal resection (EMR) technique were discussed.
Gelofusine is a succinylated gelatin most commonly employed in fluid resuscitation, with a lower osmolality than 0.9% saline. Since 2004, we have routinely used an ‘EMR mix’ comprising 43 ml gelofusine, 5 ml 0.8% indigo carmine dye and 2 ml of 1:10 000 adrenaline, for the resection of flat and sessile lesions at our institution. Variable quantities of this mix are injected into the submucosal space using a 25 gauge needle, to cause sufficient lift of the lesion for resection (figure 1). Whilst …