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The New NOTES, An Issue of Gastrointestinal Endoscopy Clinics of North America, E-Book

The New NOTES, An Issue of Gastrointestinal Endoscopy Clinics of North America, E-Book

Stavros N. Stavropoulos

(2016)

Additional Information

Book Details

Abstract

The topics covered in this issue, an update from what was first published in the Gastrointestinal Endoscopy Clinics in 2008, reflect the fact that NOTES is seeing a resurgence in popularity. Now, eight years later, there is more data to confirm safety, to look at the best options for using natural orifices, and to talk about optimal training scenarios. The Guest Editor has enlisted some of the top experts on NOTES to contribute articles devoted to Seminal Developments: SM Tunnel Technique; Peroral Endoscopic Myotomoy (POEM); Submucosal Tumor Endoscopic Resection; Endoscopic Full Thickness Resection; Submucosal Tunneling for NOTES Procedures Beyond Resection; Pyloromyotomy; New NOTES: Western Perspective; and Why Did the Old NOTES Fail: Lessons Learned that can Guide New NOTES Development.

Table of Contents

Section Title Page Action Price
Front Cover Cover
The New NOTES\r i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
EDITOR iii
AUTHORS iii
Contents vii
Foreword: The New NOTES Expands Interventional Endoscopy\r vii
Preface: The New NOTES: More “E” and Less “S” Leads to Success!\r vii
Lessons Learned from Traditional NOTES: A Historical Perspective\r vii
The Evolution of “New Notes,” Origins, and Future Directions\r vii
POEM, the Prototypical “New NOTES” Procedure and First Successful NOTES Procedure\r vii
Per-Oral Pyloromyotomy (POP): An Emerging Application of Submucosal Tunneling for the Treatment of Refractory Gastroparesis\r viii
Submucosal Tunneling Endoscopic Resection (STER) and Other Novel Applications of Submucosal Tunneling in Humans\r viii
Endoscopic Full-thickness Resection (EFTR) for Gastrointestinal Subepithelial Tumors\r viii
Non-Exposure, Device-Assisted Endoscopic Full-thickness Resection\r viii
Endoscopic Submucosal Dissection (ESD) and Related Techniques as Precursors\rof “New Notes” Resection Methods for Gastric Neoplasms\r ix
Novel NOTES Techniques and Experimental Devices for Endoscopic Full-thickness Resection (EFTR)323 ix
Hybrid NOTES: Combined Laparo-endoscopic Full-thickness Resection Techniques335 ix
Endoscopic Suturing, an Essential Enabling Technology for New NOTES Interventions375 x
New NOTES Clinical Training and Program Development385 x
Pre-clinical Training for New Notes Procedures: From Ex-vivo Models to Virtual Reality Simulators401 x
A Western Perspective on “New NOTES” from POEM to Full-thickness Resection and Beyond413 x
GASTROINTESTINAL ENDOSCOPY CLINICS\rOF NORTH AMERICA\r xii
FORTHCOMING ISSUES xii
July 2016 xii
October 2016 xii
January 2017 xii
RECENT ISSUES xii
January 2016 xii
October 2015 xii
July 2015 xii
April 2015 xii
Foreword: The New NOTES Expands Interventional Endoscopy\r xiii
Preface: The New NOTES: More “E” and Less “S” Leads to Success!\r xv
Lessons Learned from Traditional NOTES 221
Key points 221
REFERENCES 226
The Evolution of “New Notes,” Origins, and Future Directions 229
Key points 229
TECHNIQUE FOR CREATION OF THE SUBMUCOSAL WORKING SPACE 230
NEW NATURAL ORIFICE TRANSLUMENAL ENDOSCOPIC SURGERY PROCEDURES 232
EMERGING APPLICATIONS OF SUBMUCOSAL ENDOSCOPY 233
REFERENCES 234
POEM, the Prototypical “New NOTES” Procedure and First Successful NOTES Procedure 237
Key points 237
EVOLUTION OF PERORAL ENDOSCOPIC MYOTOMY 238
ADVANTAGES OF PERORAL ENDOSCOPIC MYOTOMY 238
ACCESSORIES AND EQUIPMENT FOR PERORAL ENDOSCOPIC MYOTOMY 238
INDICATIONS 239
Achalasia 239
Diffuse Esophageal Spasm and Hypercontractile Esophagus 239
TECHNIQUE 239
ADVERSE EVENTS 242
Insufflation-Related Adverse Events 243
Mucosal Perforation 244
Bleeding 244
EFFICACY 245
REFLUX 248
PERORAL ENDOSCOPIC MYOTOMY VERSUS LAPAROSCOPIC HELLER MYOTOMY 248
RISK OF INFECTION AND IMPLICATIONS FOR OTHER TRANSESOPHAGEAL NATURAL ORIFICE TRANSLUMINAL ENDOSCOPIC SURGERY PROCEDURES 249
SUMMARY 249
SUPPLEMENTARY DATA 250
REFERENCES 250
Per-Oral Pyloromyotomy (POP) 257
Key points 257
INTRODUCTION 257
THE PYLORUS AND PYLORIC DISRUPTION 258
CURRENT EVIDENCE FOR LAPAROSCOPIC PYLOROPLASTY AND GASTROPARESIS 259
THE EVOLUTION OF PER-ORAL PYLOROPLASTY 261
PER-ORAL PYLOROPLASTY DATA IN HUMANS 262
PATIENT SELECTION 262
PER-ORAL PYLOROPLASTY TECHNIQUE 262
OUTCOMES 266
SUMMARY 267
REFERENCES 267
Submucosal Tunneling Endoscopic Resection (STER) and Other Novel Applications of Submucosal Tunneling in Humans 271
Key points 271
INTRODUCTION 271
SUBMUCOSAL TUNNELING ENDOSCOPIC RESECTION 272
Indications 272
Preparation and Equipment 272
Technique/Procedures 273
Postoperative Care and Follow-Up 273
Outcomes 274
Adverse Events and Their Management 276
Current Controversies/Future Considerations 276
OTHER NEW APPLICATIONS OF THE SUBMUCOSAL TUNNELING TECHNIQUE 277
Esophago-Cardial-Gastric Tunneling Peritoneoscopy 277
Endoscopic Esophageal Epiphrenic Diverticulum Inversion 277
SUMMARY 278
ACKNOWLEDGMENTS 279
REFERENCES 279
Endoscopic Full-thickness Resection (EFTR) for Gastrointestinal Subepithelial Tumors 283
Key points 283
INTRODUCTION 283
INDICATIONS AND CONTRAINDICATIONS FOR ENDOSCOPIC FULL-THICKNESS RESECTION 284
PREOPERATIVE PREPARATIONS 284
OPERATIONAL APPROACH 285
CLINICAL OUTCOMES OF ENDOSCOPIC FULL-THICKNESS RESECTION 287
Esophageal Subepithelial Tumors 287
Gastric Subepithelial Tumors 289
Duodenal Subepithelial Tumors 291
Colorectal Subepithelial Tumors 291
SUMMARY AND FUTURE PERSPECTIVES 291
SUPPLEMENTARY DATA 292
REFERENCES 292
Non-Exposure, Device-Assisted Endoscopic Full-thickness Resection 297
Key points 297
INTRODUCTION 297
RESECTION OF GASTRIC SUBEPITHELIAL TUMORS USING THE GERDX SUTURING DEVICE 298
Indications/Contraindications 298
Device, Preprocedure Preparation 299
Patient positioning 299
Approach 299
Procedure 299
Adverse Events and Management 301
Postprocedure Care 301
Follow-up and Clinical Implications 303
Outcomes 303
Current Controversies/Future Considerations 304
ENDOSCOPIC FULL-THICKNESS RESECTION OF SUBEPITHELIAL TUMORS USING AN OVER-THE-SCOPE DEVICE 304
Indications/Contraindications 304
Procedure 305
Device 305
Preparation 305
Patient positioning 306
Approach 307
Technique/procedure 307
Adverse Events and Management 307
Postprocedure Care 308
Follow-up 308
Outcomes 309
Current Controversies/Future Considerations 309
SUPPLEMENTARY DATA 311
REFERENCES 311
Endoscopic Submucosal Dissection (ESD) and Related Techniques as Precursors of “New Notes” Resection Methods for Gastric Ne ... 313
Key points 313
INTRODUCTION 313
ENDOSCOPIC SUBMUCOSAL DISSECTION: DAWN OF RADICAL INTRALUMINAL ENDOSCOPIC RESECTION 314
ENDOSCOPIC MUSCULAR/FULL-THICKNESS RESECTION: OVER THE SUBMUCOSAL LAYER 314
LAPAROSCOPIC ENDOSCOPIC COOPERATIVE SURGERY: A SAFE APPROACH FOR LOCAL RESECTION 315
NONEXPOSED FULL-THICKNESS RESECTION: CHALLENGE TO MINIMALLY INVASIVE PARTIAL GASTRECTOMY FOR CANCERS 316
LOCAL LYMPHADENECTOMY: EXPANDED INDICATION OF LOCAL ENDOSCOPIC RESECTION FOR POSSIBLE NODE-POSITIVE CANCERS 318
FUTURE PERSPECTIVES 318
REFERENCES 319
Novel NOTES Techniques and Experimental Devices for Endoscopic Full-thickness Resection (EFTR) 323
Key points 323
INTRODUCTION 323
EXPOSED ENDOSCOPIC FULL-THICKNESS RESECTION AND NONEXPOSED ENDOSCOPIC FULL-THICKNESS RESECTION 324
RATIONALE AND INDICATIONS OF ENDOSCOPIC FULL-THICKNESS RESECTION 326
PREOPERATIVE LUMINAL LAVAGE 327
ADAPTING ENDOSCOPIC SUBMUCOSAL DISSECTION TECHNIQUE FOR FULL-THICKNESS RESECTION: THE AUTHORS’ TECHNIQUE 328
DEVELOPMENT OF FLEXIBLE ENDOSCOPE FULL-THICKNESS SUTURING DEVICES 329
MEASURING AND CONTROLLING PNEUMOPERITONEUM DURING ENDOSCOPIC FULL-THICKNESS RESECTION 330
IMPROVING ENDOSCOPIC VISUALIZATION DURING INSUFFLATION LOSS AT ENDOSCOPIC FULL-THICKNESS RESECTION 331
SUMMARY 332
REFERENCES 333
Hybrid NOTES 335
Key points 335
INTRODUCTION 336
THEORETICAL INDICATIONS FOR LAPAROENDOSCOPIC FULL-THICKNESS RESECTION 337
Local Resection of Gastrointestinal Stromal Tumors and Principles of Surgery 337
Local Resection of Gastric Cancer and Colorectal Cancer: the Sentinel Lymph Node Concept 337
LAPAROENDOSCOPIC FULL-THICKNESS RESECTION TECHNIQUES FOR THE UPPER GASTROINTESTINAL TRACT 338
Procedure Setup 338
Laparoscopic and Endoscopic Cooperative Surgery 339
Laparoscopic and endoscopic cooperative surgery procedure 339
Laparoscopic and endoscopic cooperative surgery advantages 339
Laparoscopic and endoscopic cooperative surgery limitations 339
Laparoscopic and endoscopic cooperative surgery outcomes 342
Laparoscopy-Assisted Endoscopic Full-Thickness Resection 342
Laparoscopy-assisted endoscopic full-thickness resection procedure 342
Laparoscopy-assisted endoscopic full-thickness resection advantages 342
Laparoscopy-assisted endoscopic full-thickness resection limitations 342
Laparoscopy-assisted endoscopic full-thickness resection outcomes 342
Inverted Laparoscopic and Endoscopic Cooperative Surgery 343
Inverted laparoscopic and endoscopic cooperative surgery procedure 343
Inverted laparoscopic and endoscopic cooperative surgery advantages and limitations 343
Inverted laparoscopic and endoscopic cooperative surgery outcomes 345
Combination of Laparoscopic and Endoscopic Approaches for Treatment of Neoplasia with a Nonexposure Technique 345
Combination of laparoscopic and endoscopic approaches to the treatment of neoplasia with a nonexposure technique procedure 345
Combination of laparoscopic and endoscopic approaches to the treatment of neoplasia with a nonexposure technique advantages 345
Combination of laparoscopic and endoscopic approaches to the treatment of neoplasia with a nonexposure technique limitations 347
Combination of laparoscopic and endoscopic approaches to the treatment of neoplasia with a nonexposure technique outcomes 348
Nonexposed Endoscopic Wall-Inversion Surgery 350
Nonexposed endoscopic wall-inversion surgery procedure 350
Nonexposed endoscopic wall-inversion surgery advantages 351
Nonexposed endoscopic wall-inversion surgery limitations 351
Nonexposed endoscopic wall-inversion surgery outcomes 351
Laparoscopic Transgastric Surgery 351
Laparoscopic transgastric surgery setup 351
Laparoscopic transgastric surgery procedure 351
Laparoscopic transgastric surgery advantages 351
Laparoscopic transgastric surgery limitations 353
Laparoscopic transgastric surgery outcomes 353
Therapeutic Options Depending on Lesion Characteristics (Size, Location, and Histology) 353
LAPAROENDOSCOPIC COLLABORATIVE PROCEDURES FOR TREATMENT OF COLON NEOPLASMS 355
Procedure Setup 357
Laparoscopy-Assisted Endoscopic Resection 358
Laparoscopically assisted endoscopic resection procedure 358
Laparoscopically assisted endoscopic resection advantages 359
Laparoscopically assisted endoscopic resection limitations 359
Outcomes of laparoscopically assisted endoscopic resection and other collaborative procedures for treatment of colon neoplasms 361
Full-Thickness Laparoendoscopic Excision and Eversion Full-Thickness Laparoendoscopic Excision 361
Full-thickness laparoendoscopic excision procedure 362
Eversion full-thickness laparoendoscopic excision procedure 362
Full-thickness laparoendoscopic excision and eversion full-thickness laparoendoscopic excision advantages 362
Full-thickness laparoendoscopic excision and eversion full-thickness laparoendoscopic excision limitations 362
Full-thickness laparoendoscopic excision and eversion full-thickness laparoendoscopic excision outcomes 365
ADVANTAGES OF LAPAROENDOSCOPIC COOPERATIVE SURGERY OVER ENDOSCOPY ALONE 365
THE POTENTIAL TO BE A BRIDGE TO ENDOSCOPIC FULL-THICKNESS RESECTION 367
SUMMARY 367
REFERENCES 368
Endoscopic Suturing, an Essential Enabling Technology for New NOTES Interventions 375
Key points 375
REFERENCES 382
New NOTES Clinical Training and Program Development 385
Key points 385
INTRODUCTION 385
LONG-RANGE AND SHORT-RANGE (NEW) NATURAL ORIFICE TRANSLUMENAL ENDOSCOPIC SURGERY 386
SKILL SET FOR NEW NATURAL ORIFICE TRANSLUMENAL ENDOSCOPIC SURGERY 387
WHO CURRENTLY PERFORMS NEW NATURAL ORIFICE TRANSLUMENAL ENDOSCOPIC SURGERY? 388
Peroral Endoscopic Myotomy 388
Peroral Endoscopic Pyloromyotomy 391
Submucosal Tunneling and Endoscopic Resection 391
Endoscopic Full-Thickness Resection 392
HOW DID WE TRAIN IN NEW NATURAL ORIFICE TRANSLUMENAL ENDOSCOPIC SURGERY? 393
TRAINING, LEARNING CURVE, AND PROGRAM DEVELOPMENT FOR THE NEXT GENERATION 394
WORKING GROUPS 396
SUMMARY 397
REFERENCES 397
Pre-clinical Training for New Notes Procedures 401
Key points 401
INTRODUCTION 401
OVERVIEW OF NATURAL ORIFICE TRANSLUMINAL ENDOSCOPIC SURGERY SIMULATION 402
MECHANICAL SIMULATORS 403
EX VIVO SIMULATORS 403
VIRTUAL REALITY NATURAL ORIFICE TRANSLUMINAL ENDOSCOPIC SURGERY SIMULATORS 406
MULTIMODAL TRAINING IN NATURAL ORIFICE TRANSLUMINAL ENDOSCOPIC SURGERY 411
SUMMARY 411
REFERENCES 411
A Western Perspective on “New NOTES” from POEM to Full-thickness Resection and Beyond 413
Key points 413
INTRODUCTION 413
EAST–WEST DICHOTOMY 414
FROM ENDOSCOPIC SUBMUCOSAL DISSECTION TO NEW NATURAL ORIFICE TRANSLUMENAL ENDOSCOPIC SURGERY: A WESTERN EXPERIENCE 416
Per Oral Endoscopic Myotomy 416
ENDOSCOPIC FULL-THICKNESS RESECTION/SUBMUCOSAL TUNNEL ENDOSCOPIC RESECTION 420
PER ORAL PYLOROMYOTOMY 425
GASTROESOPHAGEAL REFLUX DISEASE AFTER PER ORAL ENDOSCOPIC MYOTOMY, WEST VERSUS EAST OR INITIAL OPTIMISM DISPELLED BY OBJECT ... 425
THE PLIGHT OF CODING AND REIMBURSEMENT IN THE UNITED STATES 428
REFERENCES 430