Future Applications of Submucosal Surgery: NOTES, Full-Thickness Resections and Beyond

  • Renato V. Soares
  • Lee L. Swanstrom
  • Jacques Marescaux


Navigation in the submucosal (SM) space is a common element in several emerging procedures in interventional endoscopy, including endoscopic submucosal dissection (ESD), POEM (peroral endoscopic myotomy), POP (peroral pyloromyotomy), and POET (peroral enucleation tumors). The use of a submucosal endoscopic mucosal flap (SEMF) technique as a valve in natural orifice translumenal surgery (NOTES) procedures has also proven to be useful. Submucosal endoscopy has an evolving role in diagnosis of neuromuscular disorders of the gastrointestinal tract (Fig. 16.1).


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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Renato V. Soares
    • 1
  • Lee L. Swanstrom
    • 1
    • 2
  • Jacques Marescaux
    • 3
  1. 1.Institute for image guided Surgery, (IHU-Strasbourg)StrasbourgFrance
  2. 2.Division of GI and Gastrointestinal SurgeryThe Oregon ClinicPortlandUSA
  3. 3.Institut Hopitalo Universitaire-StrasbourgStrasbourgFrance

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