Gastroparesis managed with peroral endoscopic pyloromyotomy. Issue 1 (2nd January 2020)

• Record Type: Journal Article
• Authors: Clothier, Jessica S.; Leeds, Steven G.; Ebrahim, Ahmed; Ward, Marc A.
• Is Part Of: Proceedings. Volume 33:Issue 1(2020)
• Page Start: 49
• Page End: 50
• Publication Date: 2020-01-02
• Subjects: Delayed gastric emptying -- gastroesophageal reflux -- gastroparesis -- peroral endoscopic pyloromyotomy; Medicine -- Periodicals; Medicine; Medicine -- Periodicals; Periodicals; Electronic journals; 616.005
• DOI: 10.1080/08998280.2019.1656007
• Languages: English
• ISSNs: 0899-8280

Abstract

Abstract: Gastroparesis is delayed gastric emptying in the absence of mechanical obstruction. Cases are attributed to narcotic use, smoking, diabetes, and postsurgical complications; however, several incidences are unknown. Treatment options include diet modification, gut-stimulating medications (e.g., metoclopramide, domperidone), laparoscopic pyloroplasty, and, in the most severe cases, partial gastrectomy with Roux-en-Y reconstruction. Recently, a novel therapy has been developed, peroral endoscopic pyloromyotomy (POP). This procedure is similar to a laparoscopic pyloroplasty; however, it is performed completely endoscopically, thus negating the need for incisions. Here we present a case of gastroparesis treated with this novel technique.