Digestive Disease Interventions 2018; 02(04): 359-367
DOI: 10.1055/s-0038-1675555
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Endoscopic Intramural Surgery Part 1: Resectional Therapies

Vaibhav Wadhwa
1   Department of Gastroenterology and Hepatology, Digestive Disease Institute, Cleveland Clinic Florida, Weston, Florida
,
Kapil Gupta
2   Department of Internal Medicine, JFK Medical Center/University of Miami, Atlantis, Florida
,
Tolga Erim
1   Department of Gastroenterology and Hepatology, Digestive Disease Institute, Cleveland Clinic Florida, Weston, Florida
› Author Affiliations
Further Information

Publication History

30 August 2018

27 September 2018

Publication Date:
31 October 2018 (online)

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Abstract

Endoscopic resectional therapies for lesions of gastrointestinal tract have progressed rapidly over the past two decades. Advances in minimally invasive endoscopic approaches continue to emerge and evolve, while boundaries of resection techniques continue to be pushed. The concept of third space endoscopy with mucosal flap as a safety valve has emerged arguably as the most innovative technique among these approaches. We review several techniques for intramural endoscopic resection of lesions of the gastrointestinal tract, but to gain a full understanding of why these exist, we must first examine the background from which they emerged.