Advances in Third Space Endoscopy

Gastroenterol Clin North Am. 2024 Dec;53(4):747-771. doi: 10.1016/j.gtc.2024.08.020.

Abstract

This article offers a detailed overview of recent advancements in third space endoscopy (TSE), highlighting key procedures and their clinical applications and outcomes. Clinical TSE started as a treatment for achalasia and was named peroral endoscopic myotomy (POEM). Outcome data and comparative data of POEM with other treatments were detailed and discussed. This article also explores the indications and outcomes of other TSE procedures, such as G-POEM, Z-POEM, D-POEM, per-rectal endoscopic myotomy, and STER/POET. This article serves as a valuable resource for endoscopists looking to enhance their understanding and stay updated on these advanced TSE procedures.

Keywords: Endoscopic pyloromyotomy; Gastric peroral endoscopic myotomy; Per-rectal endoscopic myotomy; Peroral endoscopic myotomy; Peroral endoscopic tumor resection; Submucosal tunneling endoscopic resection; Third space endoscopy; Zenker’s peroral endoscopic myotomy.

Publication types

  • Review

MeSH terms

  • Endoscopy, Gastrointestinal / methods
  • Esophageal Achalasia* / diagnosis
  • Esophageal Achalasia* / surgery
  • Esophageal Sphincter, Lower / surgery
  • Humans
  • Myotomy / methods
  • Natural Orifice Endoscopic Surgery / methods