Gastric peroral endoscopic myotomy for refractory gastroparesis

Post written by Shaimaa Elkholy, MD, from the Gastroenterology Division, Internal Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt.

We present here a case of a middle-aged male patient with history of refractory gastroparesis post-surgical fundoplication. Despite using extensive medical treatment of antiemetics and prokinetics, his condition was deteriorating. We performed G-POEM, which is gastric peroral endoscopic myotomy. In G-POEM, we perform a tunnel 5 cm proximal to the pyloric ring, then we cut the pyloric ring, and then closed the tunnel opening with clips. The patient’s symptoms markedly improved, with a drop of his gastroparesis cardinal symptom index and an increase in his body weight.

G-POEM is an application of third space endoscopy, which we can apply on the pyloric ring to relief the pyloric ring spasm. G-POEM is a safe and effective procedure.

Read the full article online.

The information presented in Endoscopedia reflects the opinions of the authors and does not represent the position of the American Society for Gastrointestinal Endoscopy (ASGE). ASGE expressly disclaims any warranties or guarantees, expressed or implied, and is not liable for damages of any kind in connection with the material, information, or procedures set forth.

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