Third Space Endoscopy &
Peroral Endoscopic Myotomy (POEM)

Third Space Endoscopy and Peroral Endoscopic Myotomy (POEM) Treatment in Ludhiana, Punjab

What is meant by the term Third space endoscopy?

Third Space Endoscopy and Peroral Endoscopic Myotomy (POEM) Treatment in Ludhiana, Punjab In the third space endoscopy, various endoscopic procedures are incorporated. This is referred to as the potential space which is present inside the GI Tract wall. Mostly, it is referred to as working in the submucosal layer of the organ wall. The most commonly performed procedures in the third space are the:

  • Per Oral Endoscopic Myotomy (POEM)
  • Endoscopic Submucosal Dissection (ESD)

Some of the other options which can be performed with 3rd space endoscopy include the following:

  • Zenker’s Diverticulotomy (ZPOEM)
  • Endoscopic gastric pyloromyotomy (GPOEM)
  • Submucosal tunneling endoscopic resection (STER)
  • Tunneling recanalization of the esophagus (POETRE)

No matter what procedure you talk about, all of them are highly advanced and it takes efforts to perform them. There is a need for effective decision making which only comes when you are working with a team. At our hospital, the team will work closely to check the patient’s condition and understand what services they need to follow. Everything is scheduled as per the patient situation and multidisciplinary actions are needed to be performed.

POEM

Per Oral Endoscopic Myotomy (POEM) comes under the category of 3rd space. This procedure is referred to as a minimally invasive method to check up on the different disorders linked to the esophagus which includes esophageal spasm, esophagogastric junction outset, and jackhammer esophagus. To perform the surgery with perfection there is a need for specialized tools and methods.

ESD

Endoscopic Submucosal dissection is used for removing the lesions present in the GI tract and it comes under the category of minimally invasive technique which includes early cancer and advanced polyps linked to the colon, rectum, and stomach.
The main aim of this approach is to avoid the hassle of unwanted surgery. To perform the surgery with perfection, the use of specialized tools and training is needed. In some cases, the lesions are not able to be removed surgically so to get it done pre-procedure is needed and this is where ESD will be the reliable choice.

EMR

Endoscopic Mucosal Resection is the technique to take away the lesion present in the GI tract like in the stomach, small bowel, esophagus, rectum, or colon. If the patient has large lesions or polyps then it can do wonders to address the patient’s issues.
In some cases, this procedure can be performed in conjunction with EMR because earlier the lesions were not removed completely. Your doctor will evaluate your condition in-depth to determine whether this approach is best for you or not.

FTRD

A full-thickness recession device is attached to the endoscope and helps to take away the lesions present in the GI tract. This approach will allow removal of the polyps completely or the ones which are deeper lesions in the wall & Biopsies are obtained.

TIF

Transoral Incisionless Fundoplication comes under the category of minimally invasive approach for treating esophageal reflux. This issue is not able to be controlled effectively through the use of medications for acid reduction levels. The medications might not work effectively because the body is not able to control the medicational side-effects, the body is not able to respond to these medications, or the body has an antireflux barrier. To get it done perfectly, there is a need for specialized tools and training. To determine whether this approach will be suitable for you or not, the doctor will evaluate your condition beforehand.

Endoscopic Suturing

Endoscopic suturing is effectively carried out with the use of a suturing device. While taking out the large lesions from the GI tract large defects are left. This is where endoscopic suturing will be a perfect choice.

Final thought

Newfangled technology is without question exceptional and one of a kind. But, the precision it needs and the proper training is important. Our elite team of surgeons is well-aware of these procedures and they know how to carry out them with precision. We are here to take good care of your health with advanced methods.

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