Track 8: Third-Space Endoscopy

Track 8: Third-Space Endoscopy

Introduction

Third-Space Endoscopy is an innovative endoscopic approach that utilizes the submucosal tunnel to treat complex gastrointestinal diseases with high precision. By bridging diagnostic endoscopy and minimally invasive surgery, this technique has reshaped the management of motility disorders and subepithelial lesions, offering durable results with reduced patient burden.

Key Benefits

• Avoids open or laparoscopic surgery

• Minimizes trauma to surrounding tissues

• Faster recovery and early return to daily activities

• Lower risk of postoperative complications

• Excellent outcomes in functional GI disorders

• Expands therapeutic options for difficult-to-treat conditions

• Enhances endoscopist skill advancement and expertise

Types of Third-Space Endoscopic Procedures

• POEM – Management of achalasia and esophageal motility disorders

• G-POEM – Treatment of refractory gastroparesis

• STER – Resection of submucosal and subepithelial tumors

• Z-POEM – Endoscopic therapy for Zenker’s diverticulum

• D-POEM – Intervention for diverticular and colorectal motility disorders

Conclusion

Third-Space Endoscopy marks a paradigm shift in therapeutic endoscopy, combining precision, safety, and minimally invasive care. As techniques continue to evolve, this approach is set to play a central role in advancing patient outcomes and redefining the future of gastrointestinal intervention.