The SAGES Manual Operating Through the Endoscope

Provides information on technique and outcomes for a diversity of proceduralists

Provides extensive endoscopic images and illustrations

Written by experts in the field

About this book

In 2016 the first edition of the SAGES Manual Operating through the Endoscope was published.   At the time, this represented a review of cutting-edge new technologies that were being introduced within the field of flexible endoscopy.  Largely based on applications and data up to 2013, this served as a unique resource for clinicians and researchers to learn about this expanding field. 

Since then, there has been a significant expansion of new technologies and procedures within this discipline that have meaningfully changed this entire sub-specialty.  In addition, large numbers of high-quality data have emerged that support more heartily the safety and efficacy of these techniques.  Major international societies now routinely include hands-on training and scientific content of this field in meetings and educational efforts, and many trainees and practitioners are looking for resources to improve their knowledge and technical skills sets.  For these reasons, an update on this rapidly advancing field seems appropriate at this time, given the enormous amount of new content available.

Endoscopic surgical procedures allow for less invasive access for performing increasingly complex procedures.  This results in maximal benefit for patients with fewer complications, faster recovery, and less pain.  Endoscopy allows access to the gastrointestinal tract without transgressing the abdominal or chest walls, by means of a truly less invasive route.  These technologies and skills are being sought out by practitioners and asked for by patients.

The proposed textbook is designed to present a comprehensive and state-of the-art approach to the diverse applications of surgical techniques and procedures through the endoscopic platform.  Written by experts and emerging  specialists in that field, each of these sections will address patient selection, pre-operative considerations, technical conduct of the most common operations, and avoiding complications.  A review of the existing literature addressing the particular topic will follow in each section.  Extensive endoscopic images and illustrations will make this an interactive text.  In addition to updates on most topics in the previous manual, this edition will include exciting new fields of advanced imaging, artificial intelligence and augmented imaging, applications of robotics to endoscopy, and more robust exposure of endoscopic applications for treatment of obesity, a worldwide epidemic.

The subject of surgical endoscopy has changed meaningfully since publication of the first edition; now a substantial focus of major journals, scientific meetings, and online platforms.  A timely update can capture this broad subject in an accessible manual focused on technologies and data supporting these interventions.

Table of contents (48 chapters)

Front Matter

The Interface Between Therapeutic Gastrointestinal Endoscopy and Endoscopic Gastrointestinal Surgery

Jeffrey L. Ponsky

Pages 1-6

Endoscopic Tools: Instruments

Richard Johnson, Vimal Narula

Pages 7-35

Operating Platforms for Surgical Endoscopy

Thomas R. McCarty, Christopher C. Thompson

Pages 37-65

Endolumenal Electrosurgical Energy

J. Christian Brown, Ricard Corcelles

Pages 67-78

Endoscopic Training—Surgeon and GI Paradigms

Matthew D. Burstein, Eleanor C. Fung

Pages 79-104

Advanced Training and Certifications in Endoscopy

Allison R. Schulman, Dana Telem

Pages 105-115

Upper Gastrointestinal Tract Bleeding

Voranaddha Vacharathit, Kevin El-Hayek

Pages 117-156

Stricture Management: Interventional Options

Jerry Dang, Noah Jacob Switzer, Shahzeer Karmali

Pages 157-182

Upper Gastrointestinal Tract Leaks

Xane Peters, Patrick Sweigert, Bipan Chand

Pages 183-211

Endoscopic Treatment of Gastrointestinal Leaks

Natan Zundel, Manoel Galvão Neto, Luiz Gustavo de Quadros, Nicole Pena Sadhala, Fernanda Oliveira Azor

Pages 213-233

Lower Gastrointestinal Tract Bleeding

Robert F. Cubas, Anupam K. Gupta, Jose M. Martinez

Pages 235-253

Endoscopic Stenting for Malignant Colorectal Obstruction

Arielle Kanters, Michael Valente, Scott R. Steele

Pages 255-271

Interventional Procedures for Inflammatory Bowel Disease

Sara El Ouali, Florian Rieder

Pages 273-285

Enteral Access: Percutaneous Endoscopic Gastrostomy, Gastrostomy-Jejunostomy, and Jejunostomy

Kelli Ifuku, Shawn Tsuda

Pages 287-313

Barrett’s Esophagus Surveillance: WATS, Real-Time Endoscopic Microscopy

Joshua S. Winder, Eric M. Pauli

Pages 315-327

Barrett’s Esophagus Treatment: Radiofrequency and Other Ablation Modalities

Michael T. Fastiggi, Leena Khaitan

Pages 329-346

Endoluminal Gastroesophageal Reflux Disease Therapies

Lubomyr Boris, Sofiane El Djouzi

Pages 347-376

Endomucosal Resection of the Upper GI Tract

Steven D. Scoville, Sara Mansfield, Sabrena F. Noria

Pages 377-399

Endoscopic Mucosal Resection: Colon and Rectum

Ammar O. Kheir

Pages 401-440

Endoscopic Submucosal Dissection: Upper Gastrointestinal Tract

Abel Joseph, Amit Bhatt

Pages 441-469

Endoscopic Submucosal Dissection in Colon and Rectum

Gizem Kaya, Ilker Ozgur, Emre Gorgun

Pages 471-499

Peroral Endoscopic Myotomy (POEM)

Matthew M. Snyder, Eric S. Hungness

Pages 501-528

Intramural Surgery Per Oral Endoscopic Myotomy for Zenker’s Diverticulum (Z-POEM)

Alisan Fathalizadeh, Michael Klingler

Pages 529-546

Intramural Surgery: Per Oral Pyloromyotomy

Megan Lundgren, John Rodriguez

Pages 547-559

Per-Oral Endoscopic Tunneling for Restoration of the Esophagus (POETRE)

Jordan N. Robinson, Bola Aladegbami, Paul D. Colavita

Pages 561-571

Operating Through the Endoscope: Endoscopic Full-Thickness Resection

Pravallika Chadalavada, Madhusudhan R. Sanaka

Pages 573-589

Submucosal Tunneling Endoscopic Resection of GI Submucosal Tumors

Joshua Lyons, Jeffrey Marks

Pages 591-598

Thoracic Applications Per Oral Plication of the Esophagus (POPE)

Michael B. Ujiki, H. Mason Hedberg

Pages 599-618

Thoracic Applications: Endoscopic Approaches to Benign Esophagorespiratory Fistula Closure

Kyle L. Kleppe

Pages 619-632

Endoscopic Ultrasound (EUS) Guided Biliary Drainage

Leonardo Sosa-Valencia, Lee Swanström

Pages 633-657

EUS-Directed Transgastric ERCP (EDGE Procedure) for Management of Choledocholithiasis in Post-Gastric Bypass Anatomy

Yen-Yi Juo, Rebecca A. Burbridge, Jorge V. Obando, Alfredo D. Guerron

Pages 659-672

Advanced EUS: Future Applications

Robert D. Fanelli, Luke K. Dombert

Pages 673-686

Cholangioscopy

Richard Johnson, Benjamin K. Poulose

Pages 687-697

Role of Endoscopic Bariatric Therapies in a Comprehensive Multidisciplinary Metabolic and Bariatric Program

Alexander Abdurakhmanov, Abdelrahman Nimeri

Pages 699-715

Endoscopic Anatomy of the Bariatric Patient

Mohanad R. Youssef, Ashraf S. Farhoud, Meredith Freeman, Rachel Moore, Carlos Galvani

Pages 717-754

Intragastric Balloon Therapy

Marina Kurian, Loic Tchokouani

Pages 755-764

Endoscopic Liners (Duodenojejunal Bypass Liner, Gastroduodenojejunal Bypass Sleeve)

Keith S. Gersin

Pages 765-781

Endoscopic Sleeve Gastroplasty

Aayed R. Alqahtani

Pages 783-811

New Technologies to Treat Obesity and Related Comorbidities

Vitor Ottoboni Brunaldi, Manoel Galvao Neto

Pages 813-828

Endoscopic Bariatric Revisional Procedures

Jennifer Colvin, Stacy A. Brethauer

Pages 829-841

ERCP and the Bariatric Patient

Aurora D. Pryor, Kevin K. Seeras

Pages 843-868

Hybrid Laparoscopic and Endoscopic Techniques: Upper Gastrointestinal Tract

Abhiram Kondajji, Matthew Allemang

Pages 869-887

Hybrid Laparoscopic and Endoscopic Techniques: Colon and Rectum

Lameese Tabaja, Shafik Sidani

Pages 889-907

Natural Orifice Translumenal Endoscopic Surgery (NOTES™)

Heitham Wady, Salvatore Docimo Jr

Pages 909-927

Artificial Intelligence in Endoscopy

Jesse R. Conner, Aman B. Ali, Nabil Tariq

Pages 929-950

Advanced Imaging Through The Endoscope

Reid Sakamoto, Dean J. Mikami

Pages 951-960

Robotics in Endoscopy/Tele-Endoscopy

Omobolanle Oyefule, Barham K. Abu Dayyeh

Pages 961-971

Future Horizons in Flexible Endoscopy

Lee L. Swanström, Margherita Pizzicannella

Pages 973-991

Back Matter

Pages 993-1012