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Current Treatment Options in Gastroenterology
Erschienen in: Current Treatment Options in Gastroenterology 2/2019

29.04.2019 | Endoscopy (P Siersema, Section Editor)

2007–2019: a “Third”-Space Odyssey in the Endoscopic Management of Gastrointestinal Tract Diseases

verfasst von: Anastassios C. Manolakis, MD, PhD, Haruhiro Inoue, MD, PhD, Akiko Ueno, MD, Yuto Shimamura, MD

Erschienen in: Current Treatment Options in Gastroenterology | Ausgabe 2/2019

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Abstract

Purpose of review

The main scope of this review article is to introduce readers to the innovative field of third-space endoscopy and offer a closer look at its history, milestones, and procedure spectrum while discussing ongoing and future challenges arising from its increasing adoption worldwide.

Recent findings

Over the past few years, third-space endoscopy has been utilized in various diagnostic and interventional procedures performed throughout the gastrointestinal tract: obliteration of Zenker’s diverticulum, myotomy for achalasia, gastroparesis or Hirschsprung’s disease, biopsy or removal of subepithelial tumors, stricture management, post-per-oral endoscopic myotomy endoscopic fundoplication, and mediastino-, thoraco-, and peritoneoscopy.

Summary

Third-space endoscopic interventions have revolutionized the management of esophageal motility disorders, gastroparesis, and gastrointestinal tract subepithelial tumors. Despite the high efficacy and safety of such interventions, some common (e.g., the high level of necessary endoscopic skill) and unique for each procedure (e.g., post-procedure gastroesophageal reflux or poor outcomes in patient subgroups) challenges still remain. Through a dedicated endoscopic training, a rigorous pre-procedure patient evaluation and selection, and the application of modified or new techniques, challenges can be overcome thus establishing existing procedures and paving the way for additional breakthroughs in the field of third-space endoscopy.
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Metadaten
Titel
2007–2019: a “Third”-Space Odyssey in the Endoscopic Management of Gastrointestinal Tract Diseases
verfasst von
Anastassios C. Manolakis, MD, PhD
Haruhiro Inoue, MD, PhD
Akiko Ueno, MD
Yuto Shimamura, MD
Publikationsdatum
29.04.2019
Verlag
Springer US
Erschienen in
Current Treatment Options in Gastroenterology / Ausgabe 2/2019
Print ISSN: 1092-8472
Elektronische ISSN: 1534-309X
DOI
https://doi.org/10.1007/s11938-019-00233-6

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