Noble Gastro & Liver Hospital

Third Space Endoscopy

nnovative, Minimally Invasive Treatment for Gastrointestinal Disorders

What is it?

Third Space Endoscopy is an advanced endoscopic technique that allows for precise treatment of complex gastrointestinal conditions by accessing the submucosal space (the third layer of the GI tract). This cutting-edge procedure offers a minimally invasive alternative to traditional surgeries, ensuring quicker recovery and better outcomes for patients.

Conditions Treated with Third Space Endoscopy:

1. Achalasia
Achalasia is a condition where the lower esophageal sphincter fails to relax, causing difficulty in swallowing, chest pain, and regurgitation.

  • Treatment: Peroral Endoscopic Myotomy (POEM) – This procedure relaxes the esophageal sphincter by carefully cutting the submucosal layer, improving swallowing function without external incisions.

Third Space Endoscopy is a cutting-edge, minimally invasive technique used to treat complex gastrointestinal disorders by accessing the submucosal space (the third layer of the GI tract). This advanced procedure offers effective solutions for conditions like achalasia, Zenker’s diverticulum, subepithelial tumors, and refractory strictures. By creating a small entry point in the GI lining, an endoscope is carefully advanced through the submucosal layer to perform precise interventions such as Peroral Endoscopic Myotomy (POEM) for achalasia, or tumor removal through Endoscopic Submucosal Dissection (ESD). Unlike traditional surgeries, this approach ensures quicker recovery, minimal discomfort, and preservation of healthy tissues.

Noble Gastro & Liver Hospital

How is it done?

Third Space Endoscopy involves creating a small entry point within the submucosal layer of the GI tract using an endoscope. Specialized tools are then used to treat the targeted area with precision. Key steps include:

  1. Mucosal Entry: A small incision is made in the inner lining of the GI tract.
  2. Submucosal Tunneling: The endoscope is advanced through the submucosal space to access the treatment site.
  3. Therapeutic Intervention: Procedures like myotomy, dissection, or tumor removal are performed.
  4. Closure: The entry point is sealed to ensure complete healing.
FAQ

Third Space Endoscopy

It is an advanced endoscopic procedure that treats conditions within the submucosal layer of the GI tract, such as achalasia, tumors, and strictures.

 

Yes, it is a safe, minimally invasive technique performed by skilled gastroenterologists using advanced tools and technology.

 

The procedure typically lasts between 1 to 2 hours, depending on the condition being treated.

 

Recovery is faster compared to traditional surgery, with most patients being discharged within 1-2 days.

 

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