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.
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.
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
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
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
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.
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
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
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.
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
MBBS - SMS Medical College Jaipur
MD - RNT
Medical College Udaipur
DM Gastroenterology -
SGPGI Lucknow.
Consultant - Gastroenterology at Max Super Speciality Hospital
Phone
+91 9599210449
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