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Endoscopic GI Surgery

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NOTES and Endoluminal Surgery

Part of the book series: Clinical Gastroenterology ((CG))

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Abstract

Routine endoscopic screening programs, such as those for colonoscopy in the West or upper endoscopy in Asia, have led to an increase in the number of lesions being detected. Many of these lesions are premalignant or early-stage cancer for which surgical resection may seem excessive. As instruments and techniques evolved, the ability of endoscopists to resect lesions increased. Initial attempts at mucosal resection led to the “saline lift,” the “strip biopsy,” and eventually the endoscopic mucosal resection (EMR) utilizing band ligation, tubes, or transparent caps. EMR was later applied to normal mucosa in order to create an ulcer at the gastric cardia, tighten the gastroesophageal valve, and generate protection against gastroesophageal reflux as it healed. Meanwhile, advances in caps and electrical knives led to the development of the endoscopic submucosal dissection (ESD) techniques, which extended the maximum size of lesions that could be resected en bloc. And finally, application of ESD techniques to the creation of submucosal tunnels led to the per-oral endoscopic myotomy (POEM) and per-oral endoscopic tumor resection (POET) procedures, in which an endoscopic cardiomyotomy could be performed or a subepithelial tumor could be resected endoscopically.

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Authors and Affiliations

  1. Department of Surgery, MetroHealth Medical Center and Case Western Reserve University School of Medicine, Cleveland, OH, USA

    Kevin L. Grimes

  2. Division of Gastroenterology, Kingston General Hospital & Queen’s University, Kingston, ON, Canada

    Robert Bechara

  3. Department of Surgery, University of Rome Tor Vergata Hospital, Rome, Italy

    Valerio Balassone

  4. Digestive Disease Center, Showa University Koto-Toyosu Hospital, Tokyo, Japan

    Haruhiro Inoue

Authors
  1. Kevin L. Grimes
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  2. Robert Bechara
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  3. Valerio Balassone
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  4. Haruhiro Inoue
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Corresponding author

Correspondence to Kevin L. Grimes .

Editor information

Editors and Affiliations

  1. Department of Surgery, University of Massachusetts / Baystate Medical Center, Springfield, Massachusetts, USA

    John R. Romanelli

  2. Division of Gastroenterology, University of Massachusetts / Baystate Medical Center, Springfield, Massachusetts, USA

    David J. Desilets

  3. Lowell Surgical Associates , North Chelmsford, Massachusetts, USA

    David B. Earle

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Grimes, K.L., Bechara, R., Balassone, V., Inoue, H. (2017). Endoscopic GI Surgery. In: Romanelli, J., Desilets, D., Earle, D. (eds) NOTES and Endoluminal Surgery. Clinical Gastroenterology. Springer, Cham. https://doi.org/10.1007/978-3-319-50610-4_3

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