Endoscopic interventions



Endoscopic interventions

Endoscopic intervention is a highly effective minimally invasive treatment method. The main advantage of endoscopy for the patient is the minimally traumatic procedure. The doctor gets access to the pathological formation through a natural opening using an endoscope, without any tissue incisions.


Thanks to modern endoscopic methods of treatment and diagnosis, all operations are practically painless and quick, and in most cases, the patient can go home on the day of surgery.


In addition to the obvious advantages, endoscopic treatment allows tumors to be removed within healthy tissue and sent for histological examination, which gives accurate answers about the nature of the tumor and helps plan further treatment options.


Integra Medical's product range allows doctors to perform the following types of endoscopic interventions:


Stenting – installation of a metal mesh frame in the lumen of a hollow organ to restore their shape due to tumor growth. Thanks to endoscopic interventions, esophageal stenting is most often performed, and less often, bile duct stenting, colon stenting, and bronchial stenting.

Integra Medical's portfolio includes all sizes of esophageal stents, biliary stents, intestinal (duodenal) stents, and Garson (Flextent) tracheobronchial stents.


Endoscopic submucosal dissection (ESD)/endoscopic mucosal resection (EMR) is a new standard of endoscopic surgery in modern oncology. These are minimally invasive endoscopic surgeries that allow removing an oncological neoplasm within the mucous membrane. The pathological area is filled with fluid using an injector and cut off with a polypectomy loop. For particularly large areas, as a rule, a ligature is first applied, and then a polypectomy loop is used.

 Endoscopic cholagniopancreatography (ERCP/ERCP) is a combined endoscopic method of examining diseases and pathological changes in the bile ducts and pancreatic ducts using endoscopic instruments under X-ray examination.

The following procedures can be performed as part of ERCP:

  • Dilation of the bile duct mouth (sphincterotomy) is an endoscopic intervention that consists in dissecting the large duodenal papilla, aimed at normalizing the outflow of bile. It is performed by introducing a special device with a metal string through the endoscopic conductor, through which current is supplied and the papilla is dissected - a sphincterotome.
  • Gallstones removal is an endoscopic intervention during which gallstones are removed under optical supervision with special instruments. Depending on the size of the stones, the endoscopist selects a special instrument that will be most effective. For small-sized calculi, an extraction catheter is used, for medium-sized stones, a nitinol basket (Dormia basket) is used, and for large-sized stones, a metal basket (with 4 or 8 strings) is used.
  • Mechanical dilation of bile duct constrictions (balloon dilatation of strictures) is an endoscopic intervention used in cases where the stricture (narrowing) is not very pronounced and allows a special catheter - a dilatation balloon - to pass through. The location of the balloon is controlled visually, and after determining the correct location, the appropriate pressure is applied using a special manometer. This should be enough to expand the lumen of the narrowed area.