GI Surgeries
Third space endoscopy refers to a group of endoscopic procedures performed in the "third space," which is the potential space inside the GI tract's wall. This usually entails working in the organ wall's submucosal layer. Per Oral Endoscopic Myotomy (POEM) and Endoscopic Submucosal Dissection are the two most common procedures performed in the third space. Zenker's Diverticulotomy (ZPOEM), endoscopic gastric pyloromyotomy (GPOEM), submucosal tunnelling endoscopic resection (STER), and tunnelling recanalization of the oesophagus are all examples of third space endoscopy.
These highly specialized techniques include submucosal tunneling endoscopic resection (STER) and full- thickness endoscopic resection (FTER) of Gl-based tumors.
Third Space Endoscopy may be used in cases where other endoscopic procedures, such as endoscopic mucosal resection (EMR) or endoscopic submucosal dissection (ESD), are not feasible or safe due to the size, location, or characteristics of the lesion. For example, Third Space Endoscopy may be used to remove large or complex polyps that are too big or too deep to be removed with EMR or ESD. It may also be used to remove early stage gastrointestinal tumors that are located in the submucosal layer.
Third space endoscopy is a specialized type of endoscopy that allows doctors to access and treat lesions located in the "third space" of the gastrointestinal tract, which includes the submucosal layer and the muscularis propria layer. Here are some of the types of third space endoscopy :
These procedures are minimally invasive and have shown to be safe and effective in treating various gastrointestinal conditions.
Third space endoscopy offers several benefits over traditional surgical procedures for treating gastrointestinal conditions. Here are some of the benefits of third space endoscopy :
Third space endoscopy is a safe and effective alternative to traditional surgical procedures for treating various gastrointestinal conditions.
Successful Third Space Endoscopy Procedure in a 36-Year-Old Male Patient
Patient Information :36-year-old male who presented to our clinic with complaints of swallowing difficulty and chest pain. He had no significant past medical history, and his vital signs were within normal limits. An initial workup including an upper gastrointestinal endoscopy revealed a 2 cm submucosal lesion located in the mid-esophagus. Therefore, a third space endoscopy procedure was scheduled to further evaluate and manage the patient's symptoms.
Conclusion :This case demonstrates the successful management of a submucosal lesion located in the mid-esophagus in a 36-year-old male patient with third space endoscopy. Third space endoscopy is a safe and effective diagnostic and therapeutic tool for various gastrointestinal disorders, including submucosal lesions of the esophagus. With proper patient selection, appropriate sedation, and experienced endoscopic technique, third space endoscopy can be a safe and effective procedure with good outcomes in terms of symptom relief and patient satisfaction.
Dr vivek tank qualified from prestigious M.P.Shah medical college; Jamnagar; Gujarat in the year 2004.he then completed training in advanced surgery and endoscopy from Rajkot cancer hospital and apollo hospital Hyderabad. He received his diploma in minimal access surgery from World Laparoscopy hospital ; new delhi in 2008. He is one of the few surgeons who are well versed in Open; laparoscopy and endoscopic domains of surgery. Under the care of dr. vivek , patients undergo surgery and endoscopy at same place by the same surgeon.
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