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Digestive Disease Interventions 2018; 02(04): 368-374
DOI: 10.1055/s-0038-1676504
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Endoscopic Intramural Surgery Part II: Muscular Division

Juan S. Barajas-Gamboa
1   Department of Surgery, Digestive Disease Institute, Cleveland Clinic, Abu Dhabi, United Arab Emirates
,
Ricard Corcelles
1   Department of Surgery, Digestive Disease Institute, Cleveland Clinic, Abu Dhabi, United Arab Emirates
,
Matthew Kroh
1   Department of Surgery, Digestive Disease Institute, Cleveland Clinic, Abu Dhabi, United Arab Emirates
› Author Affiliations Funding No financial support has been received in support of this work.
Further Information

Publication History

24 October 2018

31 October 2018

Publication Date:
17 December 2018 (online)

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Abstract

The development of endoscopic technologies and the introduction of new surgical concepts during the last decade has led to an evolution of surgical treatment of gastrointestinal disorders including achalasia, gastroesophageal reflux, gastroparesis, inflammatory bowel disease, and tumors of the gastrointestinal tract. Intramural surgery creates a novel approach to perform muscular division, submucosal dissection, and tumor removal. These procedures have proven safe and effective, and increasingly are part of the surgical endoscopist's toolbox. Intramural surgical procedures include peroral esophagomyotomy (POEM), peroral pyloromyotomy (POP), Zenker's diverticulotomy, and submucosal tunneling and endoscopic resection (STER) of lesions. The objective of this article is to describe current intramural surgery procedures that comprise muscular division, as well as clinical outcomes and its impact on surgical endoscopic practices.

Keywords

gastrointestinal disorders - intramural surgery - endoscopic surgery - NOTES - minimally invasive surgery
 

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