Third space Endoscopy
Heart care
Third-space endoscopy refers to a specialised set of endoscopic procedures performed within the submucosal layer of the gastrointestinal (GI) tract[1]. These procedures involve accessing the “third space,” the potential space within the GI wall, to reach deeper layers of the organs without disrupting the mucosal lining.
One of the key procedures within the realm of third-space endoscopy is the peroral endoscopic myotomy (POEM), among the pioneering techniques in this field. POEM has shown effectiveness in treating motility disorders of the oesophagus, such as achalasia, diffuse oesophagal spasm, jackhammer oesophagus, and esophagogastric junction outlet obstruction (EGJOO).
Furthermore, third-space endoscopy includes procedures like endoscopic submucosal dissection (ESD) and submucosal tunnelling endoscopic resection (STER), which are utilized for the treatment of early gastrointestinal cancers.
These innovative techniques in third-space endoscopy have expanded the treatment options for various gastrointestinal conditions by enabling minimally invasive procedures that target specific areas within the GI wall, providing new avenues for diagnosis and treatment.
