Advanced
Third Space Endoscopy (EMR, ESD, POEM)
Advanced bilingual curriculum on third space endoscopy — endoscopic mucosal resection, endoscopic submucosal dissection, and per-oral endoscopic myotomy. Covers indications, equipment, sedation, intra-procedure nursing role, hemostasis, perforation management, and post-procedure care aligned with ASGE / ESGE / JGES guidelines.
7
Lessons
14
Hours
16
CME
22
Questions
Learning Objectives
Explain the "third space" concept and the anatomical planes used by EMR, ESD, and POEM.
Differentiate indications and patient selection for EMR, ESD, and POEM.
Prepare the room, accessories, injection solutions, and CO₂ insufflation safely.
Anticipate operator needs and pass knives, snares, clips, and hemostatic devices efficiently.
Recognise and act on intra-procedure bleeding, perforation, and capnoperitoneum.
Deliver post-procedure care: NPO orders, antibiotics where indicated, pain control, discharge planning.
Document procedure data accurately for the SCOPE registry and SCFHS audit requirements.