Max Super Speciality Hospital, Sector 128, Noida
Dr. Pankaj Kumar Centre for Digestive Health, Sector 27, Noida
Our Services

Third Space Endoscopy

Third Space Endoscopy – Advanced Minimally Invasive Treatment for Complex Gastrointestinal Disorders

Third Space Endoscopy is an advanced, minimally invasive endoscopic technique used to diagnose and treat complex gastrointestinal disorders without the need for traditional surgery. This innovative procedure involves creating a tunnel within the submucosal layer (the "third space") of the gastrointestinal tract, allowing the gastroenterologist to access deeper tissues while preserving the outer lining of the digestive tract.

Third Space Endoscopy offers effective treatment for conditions such as achalasia cardia, gastroparesis, subepithelial tumors, and Zenker's diverticulum, resulting in less pain, faster recovery, and shorter hospital stays.

What Is Third Space Endoscopy?

The wall of the gastrointestinal tract consists of multiple layers. In Third Space Endoscopy, a small entry is made in the inner lining (mucosa), and a tunnel is created through the submucosal layer. This allows the doctor to safely perform therapeutic procedures on the underlying muscle or remove selected tumors without external incisions. The technique is based on Submucosal Endoscopy with Mucosal Flap Safety Valve (SEMF), which helps reduce complications and promotes faster healing.

Conditions Treated with Third Space Endoscopy

Achalasia Cardia

Esophagogastric Junction Outflow Obstruction (EGJOO)

Gastroparesis

Zenker's Diverticulum

Esophageal Diverticula

Subepithelial (Submucosal) Tumors

Gastrointestinal Stromal Tumors (GIST) – Selected Cases

Esophageal Motility Disorders

Selected Early Gastrointestinal Lesions

Advanced Third Space Endoscopic Procedures

Peroral Endoscopic Myotomy (POEM) for achalasia and other esophageal motility disorders

Gastric Peroral Endoscopic Myotomy (G-POEM) for refractory gastroparesis

Submucosal Tunneling Endoscopic Resection (STER) for selected subepithelial tumors

Zenker's Peroral Endoscopic Myotomy (Z-POEM) for Zenker's diverticulum

Endoscopic management of selected complex gastrointestinal disorders

Symptoms That May Require Third Space Endoscopy

Difficulty swallowing (Dysphagia)

Food getting stuck while swallowing

Recurrent vomiting

Persistent nausea

Early fullness after meals

Unexplained chest pain related to swallowing

Regurgitation of undigested food

Chronic aspiration or coughing while eating

Delayed stomach emptying

Submucosal tumors detected on endoscopy or imaging

How Is the Procedure Performed?

Sedation or general anesthesia is administered.

A flexible therapeutic endoscope is introduced through the mouth.

A small opening is created in the mucosal layer.

A tunnel is carefully formed within the submucosal layer.

The planned therapeutic procedure (such as myotomy or tumor removal) is performed.

The mucosal entry is securely closed using endoscopic clips or other closure devices.

The procedure typically takes 60–120 minutes, depending on the condition being treated.

Benefits of Third Space Endoscopy

Completely incision-free treatment

Minimally invasive alternative to surgery

Less pain after the procedure

Faster recovery

Shorter hospital stay

Reduced risk of complications

Excellent cosmetic results

High success rates for selected conditions

Quicker return to normal activities

Preparing for the Procedure

Avoid eating or drinking for 6–8 hours before the procedure

Inform the doctor about all medications and allergies

Discuss blood-thinning medications

Undergo recommended blood tests and imaging if required

Follow all pre-procedure preparation instructions carefully

Arrange transportation home after discharge

Recovery After Third Space Endoscopy

Stay in the hospital for observation if required

Begin with liquids before gradually returning to a normal diet

Resume normal activities within a few days, depending on the procedure

Attend follow-up visits to monitor recovery and treatment outcomes

Your doctor will provide individualized recovery instructions based on your condition.

Why Choose Our Third Space Endoscopy Services?

Experienced Therapeutic Gastroenterologists

Expertise in POEM, G-POEM, STER, and Z-POEM

Advanced High-Definition Endoscopy Systems

State-of-the-Art Endoscopy Unit

Comprehensive Esophageal & Gastric Disorder Management

Minimally Invasive, Incision-Free Procedures

Personalized Treatment Plans

Safe Anesthesia & Patient Monitoring

Evidence-Based Care

Compassionate, Patient-Centered Approach

Dr. Pankaj Kumar

Dr. Pankaj Kumar

MBBS - SMS Medical College Jaipur
MD - RNT Medical College Udaipur
DM Gastroenterology - SGPGI Lucknow.

Consultant - Gastroenterology at Max Super Speciality Hospital

Contact Info

Phone

+91 9599210449

Email

drpankajkumargastro@gmail.com

Clinic

Ground Floor, B 100A, B Block, Pocket H, Sector 27, Noida, Uttar Pradesh 201301

OPD Time

Mon to Sat - 6 PM to 9 PM

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