Endoscopy in Surgical Clinics of North America: A Comprehensive Overview

Edited by Drs. John H. Rodriguez and Jeffrey Ponsky, this issue of Surgical Clinics of North America delves into the world of endoscopy, providing a detailed look at its history, current practices, and future advancements. The publication is a valuable resource for medical professionals, researchers, and students seeking to expand their knowledge in this field.

History of Flexible Endoscopy

The journey of endoscopy began with the invention of the first flexible endoscope in the early 20th century. Since then, the technology has evolved significantly, leading to the development of more advanced and efficient endoscopic equipment. This section explores the historical milestones that have shaped the field of endoscopy.

Quality Measures in Diagnostic Endoscopy

Ensuring the quality of diagnostic endoscopic procedures is crucial for accurate diagnoses and effective treatment plans. This article discusses the various quality measures that healthcare providers should adhere to, including proper training, equipment maintenance, and adherence to established guidelines.

Endoscopic Equipment: From Simple to Advanced

This section provides an in-depth look at the different types of endoscopic equipment available, ranging from basic flexible endoscopes to more complex devices such as endoscopic ultrasound machines. It also covers the advancements in technology that have improved the efficiency and safety of endoscopic procedures.

Endoscopic Ultrasound

Endoscopic ultrasound (EUS) is a minimally invasive procedure that combines endoscopy with ultrasound technology to visualize the digestive tract and surrounding tissues. This article explores the applications, benefits, and limitations of EUS in diagnosing and managing gastrointestinal disorders.

Polypectomy Techniques

Polypectomy is a common endoscopic procedure used to remove polyps from the gastrointestinal tract. This section discusses the various techniques and instruments used in polypectomy, as well as the potential complications and post-procedure care.

Endoscopic Mucosal Resection

Endoscopic mucosal resection (EMR) is a technique used to remove early-stage cancers and large polyps from the gastrointestinal tract. This article provides a detailed overview of the EMR procedure, including its indications, contraindications, and outcomes.

Enteral Access

Enteral access refers to the insertion of a feeding tube directly into the gastrointestinal tract. This section covers the different types of enteral access devices, the indications for their use, and the potential complications associated with these procedures.

Advanced Colonic Polypectomy

Advanced colonic polypectomy involves the removal of complex or large polyps from the colon using specialized endoscopic techniques and instruments. This article discusses the challenges and considerations involved in performing these procedures, as well as the latest advancements in technology and technique.

Principles of Intramural Surgery

Intramural surgery refers to the performance of surgical procedures within the wall of the gastrointestinal tract. This section explores the principles and techniques of intramural surgery, including the use of endoscopic submucosal dissection and other advanced methods.

Per Oral Esophageal Myotomy

Per oral esophageal myotomy (POEM) is a minimally invasive endoscopic procedure used to treat achalasia, a condition characterized by difficulty swallowing due to abnormal esophageal muscle contractions. This article provides an overview of the POEM procedure, its indications, and outcomes.

Per Oral Pyloromyotomy

Per oral pyloromyotomy (POP) is a novel endoscopic procedure designed to treat pyloric stenosis, a condition that causes narrowing of the pylorus, leading to vomiting and weight loss. This section discusses the POP technique, its advantages, and potential complications.

Per Oral Zenker’s Diverticulotomy

Per oral Zenker’s diverticulotomy is an endoscopic procedure used to treat Zenker’s diverticulum, a condition characterized by the formation of a pouch in the esophageal wall. This article covers the indications, technique, and outcomes of this minimally invasive procedure.

Submucosal Tunneling Esophageal Resection

Submucosal tunneling esophageal resection is a complex endoscopic procedure used to remove early-stage esophageal cancers and large polyps. This section provides a detailed description of the technique, its indications, and potential complications.

Endoscopic Management of Pancreato-biliary Disease

This article discusses the role of endoscopy in the diagnosis and management of pancreato-biliary diseases, including the use of endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS).

Endoscopic Management of Post-Operative Complications

Endoscopic techniques can be used to manage various post-operative complications, such as anastomotic leaks and bleeding. This section explores the different endoscopic approaches and instruments used in these situations, as well as their efficacy and potential risks.