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Related Concept Videos

Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

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Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
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Endoscopic Procedures V: ERCP01:26

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
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Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
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Related Experiment Video

Updated: Jan 7, 2026

Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve
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Building a Third SPACE Endoscopy Program Within a Community Hospital.

Melvin Simien1, Victoria Archibald2

  • 1Gastroenterology and Hepatology, Baylor All Saints, 1250 8th Avenue, Suite 650, Fort Worth, TX, 76104, USA. melvin.simien@bswhealth.org.

Current Gastroenterology Reports
|December 29, 2025
PubMed
Summary

Establishing a successful third space endoscopy (TSE) program in community hospitals requires strategic planning. Focusing on training, mentorship, and appropriate indications is key for implementing TSE effectively.

Keywords:
Community hospitalEndoscopic submucosal dissection (ESD)Eroral endoscopic myotomy (POEM)Third space endoscopy (TSE)

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Area of Science:

  • Gastroenterology
  • Endoscopic Surgery

Background:

  • Third space endoscopy (TSE) encompasses advanced endoscopic techniques.
  • The field has evolved beyond traditional endoscopic submucosal dissection (ESD) and peroral endoscopic myotomy (POEM).
  • Newer techniques include derivatives of POEM and submucosal tunneling endoscopic resection (STER).

Purpose of the Study:

  • To outline clinical questions and strategies for building a successful third space endoscopy program.
  • To address the implementation of TSE within a community hospital setting.
  • To align TSE strategy with hospital and community needs.

Main Methods:

  • Review of current advancements in third space endoscopy.
  • Analysis of implementation strategies for community hospitals.
  • Identification of key factors for successful program establishment.

Main Results:

  • There is limited data on third space endoscopy in American community hospitals.
  • Successful TSE implementation relies on proper training, mentorship, and industry-sponsored courses.
  • Appropriate patient selection and indications are crucial for program success.

Conclusions:

  • Community hospitals can establish successful third space endoscopy programs.
  • Future research should investigate TSE outcomes in non-academic settings.
  • Focus on training and mentorship is vital for advancing TSE in community hospitals.