In 2016 the first edition of the SAGES Manual Operating through the Endoscope was published. At the time, this represented a review of cutting-edge new technologies that were being introduced within the field of flexible endoscopy. Largely based on applications and data up to 2013, this served as a unique resource for clinicians and researchers to learn about this expanding field.
Since then, there has been a significant expansion of new technologies and procedures within this discipline that have meaningfully changed this entire sub-specialty. In addition, large numbers of high-quality data have emerged that support more heartily the safety and efficacy of these techniques. Major international societies now routinely include hands-on training and scientific content of this field in meetings and educational efforts, and many trainees and practitioners are looking for resources to improve their knowledge and technical skills sets. For these reasons, an update on this rapidly advancing field seems appropriate at this time, given the enormous amount of new content available.
Endoscopic surgical procedures allow for less invasive access for performing increasingly complex procedures. This results in maximal benefit for patients with fewer complications, faster recovery, and less pain. Endoscopy allows access to the gastrointestinal tract without transgressing the abdominal or chest walls, by means of a truly less invasive route. These technologies and skills are being sought out by practitioners and asked for by patients.
The proposed textbook is designed to present a comprehensive and state-of the-art approach to the diverse applications of surgical techniques and procedures through the endoscopic platform. Written by experts and emerging specialists in that field, each of these sections will address patient selection, pre-operative considerations, technical conduct of the most common operations, and avoiding complications. A review of the existing literature addressing the particular topic will follow in each section. Extensive endoscopic images and illustrations will make this an interactive text. In addition to updates on most topics in the previous manual, this edition will include exciting new fields of advanced imaging, artificial intelligence and augmented imaging, applications of robotics to endoscopy, and more robust exposure of endoscopic applications for treatment of obesity, a worldwide epidemic.
The subject of surgical endoscopy has changed meaningfully since publication of the first edition; now a substantial focus of major journals, scientific meetings, and online platforms. A timely update can capture this broad subject in an accessible manual focused on technologies and data supporting these interventions.
The Interface Between Therapeutic Gastrointestinal Endoscopy and
Endoscopic.- Gastrointestinal Surgery.- Endoscopic Tools: Instruments.-
Operating Platforms for Surgical Endoscopy.- Endolumenal Electrosurgical
Energy.- Endoscopic Training Surgeon and GI Paradigms.- Advanced Training
and Certifications in Endoscopy.- Upper Gastrointestinal Tract Bleeding.
Stricture Management: Interventional Options.- Upper Gastrointestinal Tract
Leaks.- Endoscopic Treatment of Gastrointestinal Leaks.- Lower
Gastrointestinal Tract Bleeding.- Endoscopic Stenting for Malignant
Colorectal Obstruction.- Interventional Procedures for Inflammatory Bowel
Disease.- Enteral Access: Percutaneuous Endoscopic Gastrostomy, Gastrostomy
-Jejunostomy, and Jejunostomy.- Barrett's Esophagus Surveillance - WATS,
real-time endoscopic microscopy.- Barrett's Esophagus Treatment
Radiofrequency and other Ablation Modalities.- Endolumenal Gastroesophageal
Reflux Disease Therapies.- Endomucosal Resection of the Upper GI Tract.-
Endoscopic Mucosal Resection Colon and Rectum.- Endoscopic Submucosal
Dissection: Upper Gastrointestinal Tract.- Endoscopic Submucosal Dissection
in Colon and Rectum.- Peroral Endoscopic Myotomy (POEM).- Intramural Surgery
Per-Oral Endoscopic Myotomy for Zenkers Diverticulum (Z-POEM).- Intramural
Surgery: Per-Oral Pyloromyotomy.- Per-oral Endoscopic Tunneling for
Restoration of the Esophagus (POETRE).- Operating through the Endoscope
-Endoscopic Full-Thickness Resection.- Submucosal Tunneling Endoscopic
Resection of GI Submucosal Tumors.- Thoracic Applications Per Oral Plication
of the Esophagus (POPE).- Thoracic Applications: Endoscopic Approaches to
Benign Esophagorespiratory Fistula Closure.- Endoscopic Ultrasound (EUS)
Guided Biliary Drainage.- EUS-directed Transgastric ERCP (EDGE Procedure) for
Management of Choledocholithiasis in Post-Gastric Bypass Anatomy.- Advanced
EUS: Future Applications.- Cholangioscopy.- Role of Endoscopic Bariatric
Therapies in a Comprehensive Multidisciplinary Metabolic and Bariatric
Program.- Endoscopic Anatomy of the Bariatric Patient.- Intragastric Balloon
Therapy.- Endoscopic Liners (Duodenojejunal Bypass Liner,
Gastroduodenojejunal Bypass Sleeve).- Endoscopic Sleeve Gastroplasty.- New
technologies to treat obesity and related comorbidities.- Endoscopic
Bariatric Revisional Procedures.- ERCP and the Bariatric Patient.- Hybrid
Laparoscopic and Endoscopic Techniques: Upper Gastrointestinal Tract.- Hybrid
Laparoscopic and Endoscopic Techniques: Colon and Rectum.- Natural Orifice
Translumeinal Endoscopic Surgery (NOTES ).- Artificial Intelligence in
Endoscopy.- Advanced Imaging Through The Endoscope.- Robotics in
Endoscopy/Tele-Endoscopy.- Future Horizons in Flexible Endoscopy.
Matthew Kroh, MD, FACS, FASGE, FASMBSVice Chair, InnovationDigestive Disease and Surgery InstituteDivision Chief, Foregut Surgery and Surgical EndoscopyDepartment of General SurgeryCleveland Clinic Professor of SurgeryCleveland Clinic Lerner College of MedicineCleveland Clinic9500 Euclid Avenue, A100Cleveland, OH, 44195krohm@ccf.org Salvatore Docimo, Jr., DO, MBA, FACS, FASBMSAssociate Professor of SurgeryAssociate Director, Bariatric & Foregut FellowshipAssociate Program Director for InnovationDivision of Gastrointestinal Surgery Department of SurgeryUniversity of South Florida + Tampa General Hospital Docimo@USF.edu5 Tampa General Circle Suite 410Tampa, FL 33606docimo@usf.edu Sofiane El Djouzi, MD, MS, MBA, FRCS, FACSDirector of Bariatric and Gastrointestinal SurgeryBariJuve Surgical1555 Barrington RdBuilding 3, Suite 2500Hoffman Estates, IL 60169sofiane.eldjouzi@barijuve.com Amber L. Shada, MD, FACSAssistant Professor of SurgeryUniversity of Wisconsin Medical SchoolUW Health Department of Surgeryshada@surgery.wisc.edu Kevin M. Reavis, MD FACSForegut & Bariatric SurgeryCenter for Advanced SurgeryThe Oregon Clinic4805 NE Glisan Street, Ste 6N60, Portland, OR 97213Office: (503) 281-0561Fax: (503) 281-0575kreavis@orclinic.com
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