Advanced Endoscopy for Thoracic Surgeons

Kathleen M I Fuentes; Kenneth P Seastedt; Biniam Kidane; Elliot L Servais

doi:10.1016/j.thorsurg.2023.04.015

Advanced Endoscopy for Thoracic Surgeons

Thorac Surg Clin. 2023 Aug;33(3):251-263. doi: 10.1016/j.thorsurg.2023.04.015. Epub 2023 May 29.

Authors

Kathleen M I Fuentes¹, Kenneth P Seastedt², Biniam Kidane³, Elliot L Servais⁴

Affiliations

¹ Department of General Surgery, Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805, USA.
² Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, MA 02215, USA.
³ Department of Surgery, University of Manitoba, Room GE-611, 820 Sherbook Street, Winnipeg, Manitoba R3A 1R9, Canada.
⁴ Division of Thoracic Surgery, Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805, USA. Electronic address: elliot.servais@lahey.org.

PMID: 37414481
DOI: 10.1016/j.thorsurg.2023.04.015

Abstract

The thoracic surgeon, well versed in advanced endoscopy, has an array of therapeutic options for foregut pathologic conditions. Peroral endoscopic myotomy (POEM) offers a less-invasive means to treat achalasia, and the authors' preferred approach is described in this article. They also describe variations of POEM, such as G-POEM, Z-POEM, and D-POEM. In addition, endoscopic stenting, endoluminal vacuum therapy, endoscopic internal drainage, and endoscopic suturing/clipping are discussed and can be valuable tools for esophageal leaks and perforations. Endoscopic procedures are advancing rapidly, and thoracic surgeons must maintain at the forefront of these technologies.

Keywords: Anastomotic leak; Endoluminal vacuum therapy; Endoscopic clip; Endoscopic stenting; Endoscopy; Esophageal perforation; Peroral endoscopic myotomy.

Publication types

Review

MeSH terms

Endoscopy
Endoscopy, Gastrointestinal / methods
Esophageal Achalasia* / surgery
Esophageal Sphincter, Lower / surgery
Humans
Natural Orifice Endoscopic Surgery* / methods
Surgeons*
Treatment Outcome