This manual presents a comprehensive and state of the-art approach to the diverse applications of surgical techniques and procedures through the endoscopic platform. Sections address preliminary issues faced by surgeons and physicians who may be initially undertaking these new techniques. These areas include training and credentialing, as well as tools and platforms commonly used for these procedures. Subsequent chapters focus on specific disease processes and the endoscopic applications for those procedures. Each section addresses patient selection, pre-operative considerations, technical conduct of the most common operations, and avoiding complications. A brief review of the existing literature addressing the particular topic follows in each section. The text concludes with chapters on future directions and device development. Written by experts in the field, The SAGES Manual Operating Through the Endoscope is a valuable resource to experienced advanced endoscopists looking to expand the types of procedures that they currently perform, as well as trainees, including residents, fellows and medical students.

In 2016 the first edition of the SAGES Manual Operating through the Endoscope was published. At the time, this represented a review of cutting-edge new technologies that were being introduced within the field of flexible endoscopy. Largely based on applications and data up to 2013, this served as a unique resource for clinicians and researchers to learn about this expanding field. Since then, there has been a significant expansion of new technologies and procedures within this discipline that have meaningfully changed this entire sub-specialty. In addition, large numbers of high-quality data have emerged that support more heartily the safety and efficacy of these techniques. Major international societies now routinely include hands-on training and scientific content of this field in meetings and educational efforts, and many trainees and practitioners are looking for resources to improve their knowledge and technical skills sets. For these reasons, an update on this rapidly advancing field seems appropriate at this time, given the enormous amount of new content available. Endoscopic surgical procedures allow for less invasive access for performing increasingly complex procedures. This results in maximal benefit for patients with fewer complications, faster recovery, and less pain. Endoscopy allows access to the gastrointestinal tract without transgressing the abdominal or chest walls, by means of a truly less invasive route. These technologies and skills are being sought out by practitioners and asked for by patients. The proposed textbook is designed to present a comprehensive and state-of the-art approach to the diverse applications of surgical techniques and procedures through the endoscopic platform. Written by experts and emerging specialists in that field, each of these sections will address patient selection, pre-operative considerations, technical conduct of the most common operations, and avoiding complications. A review of the existing literature addressing the particular topic will follow in each section. Extensive endoscopic images and illustrations will make this an interactive text. In addition to updates on most topics in the previous manual, this edition will include exciting new fields of advanced imaging, artificial intelligence and augmented imaging, applications of robotics to endoscopy, and more robust exposure of endoscopic applications for treatment of obesity, a worldwide epidemic. The subject of surgical endoscopy has changed meaningfully since publication of the first edition; now a substantial focus of major journals, scientific meetings, and online platforms. A timely update can capture this broad subject in an accessible manual focused on technologies and data supporting these interventions.

This book addresses all aspects of endoscopy from scope and tower basics to the more advanced interventional procedures like endoscopic retrograde cholangiopancreatography, per-oral esophageal myotomy, and percutaneous endoscopic gastrostomy. It covers a broad range of topics in order to remain relevant to the surgical subspecialist, the community general surgeon, the surgical fellow interested in endolumenal and transluminal procedures, and the surgical resident interested in the very basics of endoscopy. The table of contents is intentionally designed to mirror the Flexible Endoscopy curriculum currently being implemented for all minimally invasive, advanced GI and surgical endoscopy fellowships. The chapters are broken up into five parts. The first part introduces the SAGES Masters Program, followed by parts that cover flexible endoscopy basics, flexible endoscopy procedures, and finally bariatric flexible endoscopy. Written by experts and thought leaders in their fields, The SAGES Manual of Flexible Endoscopy serves as a valuable resource for surgeons of all training and skill levels to better grasp an overview of modern endoscopy practice.

This issue of Surgical Clinics of North America focuses on Endoscopy and is edited by Drs. John Rodriguez and Jeffrey L. Ponsky. Articles will include: History of Flexible Endoscopy; Quality Measures in Diagnostic Endoscopy; Endoscopic Equipment from Simple to Advanced; Endoscopic Ultrasound; Polypectomy Techniques; Endoscopic Mucosal Resection; Enteral Access; Advanced Colonic Polypectomy; Principles of Intramural Surgery; Per Oral Esophageal Myotomy; Per Oral Pyloromyotomy; Per Oral Zenker's Diverticulotomy; Submucosal Tunneling Esophageal Resection; Endoscopic Management of Pancreato-biliary Disease; Endoscopic Management of Post-Operative Complications; and more!

In this issue of Gastrointestinal Endoscopy Clinics of North America, guest editors Drs. D. Nageshwar Reddy and Partha Pal bring their considerable expertise to the topic of Updates on Endoscopic Diagnosis in IBD: From White Light to Molecular Imaging. Top experts in the field address recent advances in endoscopic diagnosis in IBD that are relevant to everyday practice, including indications, timing, and biopsy protocol; current endoscopic scoring systems in IBD; endoscopy in special situations in IBD, such as acute colitis, pregnancy, and pediatrics; and much more. - Contains 14 relevant, practice-oriented topics including capsule endoscopy in IBD: evolving role and recent advances; endoscopy for altered anatomy in IBD; advanced endoscopic imaging to predict clinical outcomes in IBD; automated endoscopic diagnosis in IBD: the emerging role of artificial intelligence; the role of endoscopic ultrasound in the diagnosis and management of IBD complications; and more. - Provides in-depth clinical reviews on endoscopic diagnosis in IBD, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

This text will provide a comprehensive, state-of-the art review of endoscopy in the management of the obese patient. It will serve as a valuable resource for clinicians, surgeons, endoscopists and researchers with an interest in endoscopy in the role of obesity care. The book will review how endoscopy plays a crucial role in the preoperative evaluation of a patient undergoing a surgical or endoluminal intervention, how intra-operative endoscopy allows evaluation of the newly reconstructed gastrointestinal tract and how post bariatric surgery complications can be managed. Endoscopic evaluation of normal and abnormal surgical anatomy will also be covered. A section dedicated to current and future endoluminal therapies, with a focus on safety, efficacy and technique, will also be thoroughly reviewed. This text will serve as a very useful resource for endoscopy in both a surgical and gastroenterology practice. Training, credentialing and the implementation of EBTs into ones practice, endoscopy suite and hospital will also be discussed.

- NEW! Robotic-Assisted Surgery boxes highlight a rapidly expanding surgical modality. - NEW! Enhanced Recovery After Surgery boxes promote review of protocols for early recovery for patients undergoing major surgery. - NEW! Patient Engagement Exemplar boxes optimize surgical outcomes by addressing AORN guidelines on the issues of patient care and involvement of the patient's family. - NEW standards and AORN toolkits cover topics ranging from enhanced post-surgical recovery to prevention of pressure ulcers.

Morbid obesity is an epidemic as more than 2/3 of the United States population is obese and as such, has a high burden of weight-related co-morbid diseases. Bariatric surgery has proven to be effective and durable for treatment of severe obesity. Technological advances including applications of laparoscopy and endolumenal techniques have rapidly advanced this field. Data and outcomes examining treatments have also improved and as providers, we have a wide spectrum of therapeutic options to treat patients. As techniques and outcomes have evolved, access to a comprehensive yet focused resource regarding bariatric surgery is currently limited. The proposed textbook is designed to present a comprehensive and state-of the-art approach to the current and future status of Bariatric interventions, which has changed significantly since the first edition of the Manual. Updates in this version will include the rapidly expanding field of endoluminal bariatric procedures, with a focus on new devices and theories of mechanisms. New data regarding laparoscopic approaches to treat obesity, as well as improved longer-term data outcomes will be reviewed. Newer surgical approaches to treat metabolic disease and obesity are included, as well as proposed mechanisms of action and efficacy. Additional new sections include sections on the application of robotic technologies, special circumstances including transplantation and pregnancy, and telemedicine and social media in bariatric surgery. Sections will address the evolution in specific treatments available to patients, initial evaluation and selection of procedures for individual patients, the latest surgical and endoscopic techniques being employed to treat patients including data on outcomes, and future directions for therapy. In particular and unique amongst references, a major focus of this text will be on both the bariatric and metabolic bases of therapies and outcomes. The SAGES Manual A Practical Guide to Bariatric Surgery, Second Edition aligns with the new SAGES UNIVERSITY MASTERS Program. The Manual supplements the Bariatric Surgery Pathway from Competency to Proficiency to Mastery. Whether it’s for Biliary, Hernia, Colon, Foregut or Bariatric, the key technical steps for the anchoring bariatric procedures are highlighted in detail as well as what the reader needs to know to successfully submit a video clip to the SAGES Facebook Channels for technical feedback. Readers will also learn about how to count credits for Bariatric from the other Master Program Series, Guidelines, Top 21 Videos, Pearls, FLS, FES, FUSE, SMART and Annual SAGES Meeting. The Masters Program promotes lifelong deliberate learning.

This volume provides a concise yet comprehensive overview of advanced techniques in interventional endoscopy beyond ERCP and EUS. Comprised of sections on endoscopic resection (including EMR, ESD, STER and EFTR), bariatric endoscopy, endoscopic myotomy (POEM, GPOEM, ZPOEM and PREM), endoscopic anti-reflux therapies, endoscopic tissue apposition, and advances in interventional EUS, the text highlights indications and technical details, assesses safety and efficacy, and provides quality metrics and training pathways for these endoscopic procedures. The book is also accompanied by multiple photos and videos illustrating these endoscopic techniques. Written by world renowned experts in the field, Gastrointestinal Interventional Endoscopy: Advanced Techniques is a valuable resource for gastroenterologists and surgeons interested in the latest advances in interventional endoscopy.

The much-anticipated revision of the second edition of The SAGES Manual: Fundamentals of Laparoscopy, Thoracoscopy, and GI Endoscopy, has been completely restructured, reorganized, and revised. The Manual has been split into two volumes for better portability. Volume I, Basic Laparoscopy and Endoscopy covers the fundamentals and procedures performed during surgical residency. Volume I will be the first volume used by students, residents, and allied healthcare professional trainees. Material has been added to these fundamentals and procedures that will also be of interest to experienced surgeons. Volume II, Advanced Laparoscopy and Endoscopy covers more advanced procedures, generally taught during fellowship. All of the sections have been reorganized with a critical eye to the needs of the modern minimal access surgeon. Two new editors have been added. Chapters have been revised by both new authors as well as many stalwart authors from previous editions. These portable handbooks cover all of the major laparoscopic and flexible endoscopic procedures in easy-to-read format. Indications, patient preparation, operative techniques, and strategies for avoiding and managing complications are included for the complete spectrum of both “gold standard” and emerging procedures in diagnostic and therapeutic laparoscopy, thoracoscopy, and endoscopy. The scope, detail, and quality of the contributions confirm and demonstrate the SAGES commitment to surgical education. This manual is sure to find a home in the pocket, locker or briefcase of all gastrointestinal endoscopic surgeons and residents.