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    Third Space Endoscopy

    Third space endoscopy refers to a range of endoscopic techniques conducted within the third space, an anatomical term referring to the potential space within the wall of the gastrointestinal (GI) tract. This advanced technology involves procedures performed deep within the layers of the GI tract wall.

    Third space endoscopy involves accessing deeper layers of the digestive system beyond the surface layer, known as the mucosa, to remove lesions and treat conditions.

    At Apollo Hospital in Jubilee Hills, Hyderabad, our highly experienced team of gastroenterologists specialises in conducting endoscopic resection and third space endoscopy (TSE) procedures to treat gastrointestinal conditions effectively. Their extensive training and remarkable skills ensure outstanding safety records and consistently high success rates. This establishes our hospital as the best choice for third space endoscopy procedures in Hyderabad.

    What Happens In Third Space Endoscopy?

    Third space endoscopy procedures are a big step forward in treating stomach problems without major surgery. One popular procedure is called peroral endoscopic myotomy (POEM), which is best at treating a specific type of swallowing issue called type 3 achalasia cardia. During these procedures, the following steps are performed:

    • Creating a Path Inside the Body:

    During third space endoscopy, doctors make a pathway beneath the lining of the digestive system without hurting the surface. This pathway allows them to reach the problem area without causing damage to the outer layer.

    • Resolving the Issue:

    Once the pathway is made, doctors can resolve the issue. For example, in peroral endoscopic myotomy (POEM), they can cut muscles in the oesophagus to help with swallowing difficulties caused by a condition called achalasia cardia.

    • Closing Up:

    After the main part of the procedure is done, any small cuts or openings made in the lining of the digestive system need to be closed carefully. This helps prevent bleeding or other problems. Doctors use special tools, like stitches or clips, to do this.

    Overall, these procedures, including POEM, offer a less invasive way to treat stomach problems effectively, leading to better outcomes and improved quality of life for patients.

    Pre-Operative Care For Third Space Endoscopy

    Before undergoing a third space endoscopy, it is important to follow specific instructions to ensure a safe and effective procedure.

    • Nothing to Eat or Drink: It is recommended to refrain from eating or drinking anything for at least 8 hours before the procedure. This fasting period helps ensure that the stomach is empty, which reduces the risk of complications during the endoscopy, such as aspiration (inhaling stomach contents into the lungs). Following this guideline is crucial to ensure the safety and success of the procedure.
    • Medication: Patients may be allowed to take prescribed medications up to 4 hours before the examination, typically with small sips of water. This exception for medications is important to ensure that patients can manage any underlying health conditions while still minimising the risk of complications during the procedure. However, it is essential to follow specific instructions provided by the doctor regarding which medications can be taken and when.
    • Avoid Antacids or Carafate: Certain medications, such as antacids or carafate (sucralfate), should not be taken before the procedure. These medications can affect the acidity levels in the stomach or form a protective coating on the stomach lining, which may interfere with the endoscopic evaluation or treatment. It is crucial to adhere to this instruction to ensure accurate results and minimise any potential risks associated with the procedure.

    Preparing for a third space endoscopy involves strict adherence to fasting guidelines, careful consideration of medication timing, and the avoidance of specific medications that could interfere with the procedure. Following these instructions helps ensure the safety, effectiveness, and accuracy of the endoscopic examination or treatment, ultimately leading to better outcomes for the patient.

    Post-Operative Care For Third Space Endoscopy

    • One important aspect of this recovery process is ensuring the efficient elimination of any sedative medications used during the procedure. Drinking plenty of water helps flush out these sedatives from the body, so you can feel back to normal sooner.
    • In addition to staying hydrated, it is beneficial for patients to choose soft foods and liquids, such as broth, during the initial stages of recovery. Soft foods are easier to swallow and gentler on the digestive system, reducing the risk of discomfort or irritation, especially if there were any interventions in the gastrointestinal tract during the procedure. Consuming liquids like broth also provides essential nutrients and hydration, which are vital for the body’s healing process.
    • Choosing comforting treatments can help reduce any discomfort after the procedure, especially in the throat. Eating popsicles or hard candies can help soothe a sore throat by making it numb and giving it a cool feeling. This easy trick makes patients feel better while they recover.

    Best Gastroenterology Doctors in Jubilee Hills

    Apollo Doctor

    Dr. Raghu D K

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    24+ YRS
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    Dr. Bharath Kumar A

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    Dr. Ankith Vijay Agarwal

    MBBS (Osm), MD (PGIMER Chandigarh), DM (AIIMS New Delhi), FAGIE...
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    FAQ's

    In traditional surgery, the affected intestine is typically removed entirely and stitched back together. However, in third space endoscopic procedures, we use special techniques to remove tumours without harming the intestinal wall. Since it is done with an endoscope, patients feel minimal discomfort and can often go home the same or the next day. These procedures also result in minimal bleeding compared to traditional surgery.

    Third space endoscopic procedures are used to treat various gastrointestinal problems, besides achalasia cardia. For instance, if you have trouble swallowing food, a procedure called POEM can help. And if you suffer from acid reflux, which causes a burning feeling in the chest, instead of just taking pills, there is a procedure called ARMA-ARMS that can treat it by removing the irritated tissue.

    Third space endoscopy procedures may entail complications like bleeding, intestinal wall perforation, or infections. However, these can often be addressed during the procedure using tools like coagulation forceps or clips. In rare, severe cases, surgery or radiological intervention may be necessary. Nonetheless, such complications are infrequent, akin to those seen in surgery, and can be reduced with advanced equipment and expert practitioners.
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