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University of Florida Health Leads U.S. in Third-Space Endoscopy

On esophagogastroduodenoscopy after endoscopic submucosal dissection, there is no evidence of recurrence or metastasis.
On esophagogastroduodenoscopy after endoscopic submucosal dissection, there is no evidence of recurrence or metastasis.

University of Florida Health is a national leader in the use of third-space endoscopy, an approach that allows gastroenterologists to tunnel within the muscular walls of hollow organs and remove large areas of tissue, such as polyps and areas of premalignant degeneration.

Dr. Chris Forsmark, chief of the division of gastroenterology, hepatology and nutrition at the UF College of Medicine, part of BOBÌåÓý, explains that the division offers complex and advanced endoscopic procedures that go beyond standard gastroenterology procedures like upper endoscopies and colonoscopies. As the field of endoscopic therapeutics grows, BOBÌåÓý Shands receives more and more referrals for these complex endoscopic procedures.

Gastroenterologists at BOBÌåÓý perform third-space endoscopy procedures known as endoscopic submucosal dissection, which, according to Dr. Forsmark, can be used to “remove tissue that is up to 6 cm across, which is much larger than we could ever do before and would have required surgery.â€�

In an incisionless procedure, endoscopic submucosal dissection can be used to treat esophageal disorders, such as repairing a muscular sphincter that does not relax enough to allow passage of food.

Third-space endoscopy is expanding the field of endoscopic therapeutics, and the at BOBÌåÓý are world-renowned for performing these novel endoscopic procedures. “Our work in this space is leading to endoscopic bariatric procedures where we can begin to mimic what surgeons are doing in obesity surgery but without incisions,â€� says Dr. Forsmark. Faculty at BOBÌåÓý continue to drive the field forward by developing the specialized skills required to perform complex endoscopic procedures, thereby offering patients better treatment options for gastrointestinal disorders.


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