Third space endoscopy: the future of treating gastrointestinal dysmotility
| العنوان: | Third space endoscopy: the future of treating gastrointestinal dysmotility |
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| المؤلفون: | Zaheer Nabi, D. Nageshwar Reddy |
| المصدر: | Current Opinion in Gastroenterology. 37:462-469 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Myotomy, medicine.medical_specialty, medicine.diagnostic_test, business.industry, medicine.medical_treatment, Gastroenterology, MEDLINE, Achalasia, Endoscopic management, medicine.disease, Endoscopy, law.invention, Randomized controlled trial, law, medicine, Gastroparesis, Intensive care medicine, business, Gastrointestinal dysmotility |
| الوصف: | Purpose of review Third space endoscopy (TSE) or submucosal endoscopy provides with the opportunity for minimally invasive management of various gastrointestinal disorders. TSE is a relatively new field and the knowledge on its utility continues to advance. The purpose of this review is to provide with updated evidence on the efficacy and utility of TSE in gastrointestinal motility disorders including achalasia and refractory gastroparesis. Recent findings Peroral endoscopic myotomy (POEM) is a safe procedure with emerging evidence on its durability as well. Major technical variations do not appear to impact the outcomes of POEM. Recent randomized trials suggest superiority of POEM over pneumatic dilatation and noninferiority over Heller's myotomy in idiopathic achalasia. With regard to gastric POEM (G-POEM), recent evidence confirms its efficacy in refractory gastroparesis. Although effective, the long-term outcomes of G-POEM are not well known. In addition, the criteria for patient selection remain elusive. Summary TSE has emerged as a new frontier in the endoscopic management of gastrointestinal motility disorders. While short-term outcomes are encouraging, the durability of TSE remains to be seen in achalasia as well as refractory gastroparesis. Insights regarding patient selection and predictors of outcomes may help optimizing the results of gastric POEM in refractory gastroparesis. |
| تدمد: | 1531-7056 0267-1379 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_________::d8096c4ebc1f889a0cd53e13585e0c3bTest https://doi.org/10.1097/mog.0000000000000757Test |
| رقم الانضمام: | edsair.doi...........d8096c4ebc1f889a0cd53e13585e0c3b |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15317056 02671379 |
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