Clin Endosc.  2018 Jan;51(1):8-12. 10.5946/ce.2017.154.

Introduction to Endoscopic Submucosal Surgery

  • 1Department of Gastroenterology, Cha Kumi Medical Center, Cha University College of Medicine, Gumi, Korea.
  • 2Department of Gastroenterology, Cha Bundang Medical Center, Cha University College of Medicine, Seongnam, Korea.


The concept of using natural orifices to reduce the complications of surgery, Natural Orifices Transluminal Endoscopic Surgery, has also been applied to therapeutic endoscopy. Endoscopic submucosal surgery (ESS) provides more treatment options for various gastrointestinal diseases than traditional therapeutic endoscopy by using the submucosal layer as a working space. ESS has been performed in various fields ranging from transluminal peritoneoscopy to peroral endoscopic myotomy. With further advances in technology, ESS will be increasingly useful for diagnosis and treatment of gastrointestinal diseases.


Endoscopic submucosal surgery; Natural orifices transluminal endoscopic surgery; Peroral endoscopic myotomy; Endoscopic pyloromyotomy; Endoscopic submucosal tunnel dissection
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