Third Space Endoscopy in Ahmedabad

Third Space Endoscopy in Ahmedabad

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.

Third Space Endoscopy may help in the evaluation of :

  • Esophageal Peroral Endoscopic Myotomy (E- POEM)
  • Gastric Peroral Endoscopic Myotomy (G-POEM)
  • Treatment of Esophageal Diverticuli
  • Endoscopic Submucosal Dissection (ESD)

These highly specialized techniques include submucosal tunneling endoscopic resection (STER) and full- thickness endoscopic resection (FTER) of Gl-based tumors.

Third Space Endoscopy may help in :

  • Third Space Endoscopy is a minimally invasive endoscopic procedure.
  • It's used to remove abnormal growths or lesions from the gastrointestinal tract.
  • The procedure involves lifting the submucosal layer and creating a pocket for the removal of the abnormal tissue.
  • Advanced endoscopic tools, such as an electrosurgical knife or a submucosal injection needle, are used.
  • Third Space Endoscopy is a promising technique that may reduce the need for more invasive surgical procedures.

Why Third Space Endoscopy Used ?

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.

  1. Third Space Endoscopy is used to remove abnormal growths or lesions from the gastrointestinal tract that are located in the submucosal layer.
  2. It is typically performed when other endoscopic procedures are not feasible or safe.
  3. Third Space Endoscopy may be used to remove large or complex polyps or early stage gastrointestinal tumors.
  4. The procedure is less invasive than traditional surgical procedures, which can lead to faster recovery times and fewer complications.
  5. Third Space Endoscopy may also reduce the need for more invasive surgical procedures, such as open surgery or laparoscopic surgery.

Types of Third Space Endoscopy

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 :

  • POEM (Peroral Endoscopic Myotomy) : A minimally invasive procedure used to treat achalasia and other swallowing disorders by cutting the muscles at the base of the esophagus.
  • ESD (Endoscopic Submucosal Dissection) : A technique used to remove large polyps and early-stage cancers from the digestive tract, by dissecting them from the submucosal layer.
  • STER (Submucosal Tunneling Endoscopic Resection) : A procedure used to remove tumors or lesions located in the muscularis propria layer of the esophagus, stomach, or rectum.
  • EMR (Endoscopic Mucosal Resection) : A technique used to remove small polyps or early-stage cancers from the mucosal layer of the digestive tract.
  • EFTR (Endoscopic Full-Thickness Resection) : A procedure used to remove tumors or lesions that penetrate through the entire wall of the digestive tract, by creating a full-thickness incision and closing the defect with sutures.

These procedures are minimally invasive and have shown to be safe and effective in treating various gastrointestinal conditions.

Benefits of Third Space Endoscopy

Third space endoscopy offers several benefits over traditional surgical procedures for treating gastrointestinal conditions. Here are some of the benefits of third space endoscopy :

  1. Minimally invasive : Third space endoscopy is a minimally invasive procedure, which means it requires only small incisions or no incisions at all. This leads to less pain, scarring, and a faster recovery time compared to traditional surgery.
  2. High success rate : Third space endoscopy has a high success rate in treating various gastrointestinal conditions, including removing tumors, lesions, and polyps from the digestive tract.
  3. Reduced risk of complications : Third space endoscopy has a lower risk of complications compared to traditional surgery, such as infection, bleeding, or damage to nearby organs.
  4. Outpatient procedure : Many third space endoscopy procedures can be performed on an outpatient basis, meaning the patient can return home the same day as the procedure.
  5. Improved quality of life : Third space endoscopy can improve the quality of life for patients by reducing symptoms of gastrointestinal conditions, such as difficulty swallowing, pain, or discomfort.

Third space endoscopy is a safe and effective alternative to traditional surgical procedures for treating various gastrointestinal conditions.

Case Study

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.

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Best Doctor For Third Space Endoscopy

Best Doctor For Third Space Endoscopy

Dr Vivek Tank

Endoscopic Surgeon

MBBS , MS, DMAS

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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Frequently Asked Questions (FAQ)

1. How is Third Space Endoscopy performed?
Third Space Endoscopy involves lifting the submucosal layer and creating a pocket for the removal of the abnormal tissue. Advanced endoscopic tools, such as an electrosurgical knife or a submucosal injection needle, are used.
2. What are the benefits of Third Space Endoscopy?
Third Space Endoscopy is a less invasive procedure than traditional surgical procedures, which can lead to faster recovery times and fewer complications. It may also reduce the need for more invasive surgical procedures, such as open surgery or laparoscopic surgery.
3. What conditions can be treated with Third Space Endoscopy?
Third Space Endoscopy is typically used to remove large or complex polyps, early stage gastrointestinal tumors, and other abnormal growths or lesions that cannot be safely removed with traditional endoscopic techniques.

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