Cutting-Edge Technologies for Gastrointestinal Therapeutic Endoscopy

With advancements in the development of flexible endoscopes and endoscopic devices increased demand for minimally invasive treatments, indications therapeutic endoscopy have been expanded. Methods treatment used tissue removal, hemostasis, dilatation are as follows. Endoscopic submucosal dissection (ESD) is considered gold standard curative method removal gastrointestinal node-negative neoplasms, regardless their size or presence ulcer formation. Laparoscopic cooperative surgery (LECS), which incorporates ESD, was introduced lesions deeper layers. Another technique full-thickness resection, challenging without assistance laparoscopy. In terms management iatrogenic bleeding after an important issue. Shielding methods suturing techniques large mucosal defects efficacy has investigated clinically. Peroral myotomy (POEM) a new alternative surgical approach esophageal achalasia. Furthermore, fundoplication POEM devised to prevent post-POEM gastroesophageal reflux disease. Many including LECS, POEM, Japan. aging population, more attention will be directed toward elderly patients, because it less invasive. Development treatments with expanded expected.