Virtual Reality to Improve Patient Experience During Endoscopic Mucosal and Submucosal Resection

The intervention group in this study will undergo their EMR and ESD procedure with the addition of virtual reality (VR) as a supportive tool. Participants in this group will use a VR headset during the procedure, designed to provide an immersive experience that may help manage pain and anxiety. The use of VR will be integrated alongside the standard care protocol, including routine sedation and pain management practices VR headset is from DRVR, Rescope innovation which is registered as medical device in the UK.

Standard local protocol for analgesia and sedation, incorporating fentanyl and midazolam.