The Evolution of "New Notes," Origins, and Future Directions

Saurabh S. Mukewar, Christopher J. Gostout

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations


The transformation of the submucosa into a working space provided a paradigm shift for endolumenal endoscopic intervention. The submucosal space can provide an undermining access to the removal of overlying mucosal disease. This space can also provide a protective mucosal barrier accommodating interventions into the deep layers of the gut wall and body cavities, such as the abdomen and mediastinum.

Original languageEnglish (US)
Pages (from-to)229-235
Number of pages7
JournalGastrointestinal Endoscopy Clinics of North America
Issue number2
StatePublished - Apr 1 2016


  • Endoscopic intervention
  • Hybrid endoscopic submucosal dissection
  • New NOTES
  • Submucosa
  • Submucosal endoscopy

ASJC Scopus subject areas

  • Gastroenterology


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