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 …

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Short-term outcomes of double versus single pyloromyotomy at peroral endoscopic pyloromyotomy in the treatment of gastroparesis

Post written by Qiang Cai, MD, PhD, from the Emory University School of Medicine, Division of Digestive Diseases, Atlanta, Georgia, USA. The focus of our study was to compare the short-term outcomes of double myotomy versus single myotomy at peroral endoscopic pyloromytomy in the treatment of gastroparesis. Peroral endoscopic pyloromytomy (POP or GPOEM) is a …

Continue reading Short-term outcomes of double versus single pyloromyotomy at peroral endoscopic pyloromyotomy in the treatment of gastroparesis

Duration or etiology of gastroparesis and clinical response after gastric per-oral endoscopic pyloromyotomy

Post written by Parit Mekaroonkamol, MD, Vaishali Patel, MD, MHS, and Qiang Cai, MD, PhD, from the Emory University School of Medicine, Atlanta, Georgia, and the King Chulalongkorn Memorial Hospital, Chulalongkorn University, Bangkok, Thailand. Gastric per-oral endoscopic pyloromyotomy (GPOEM) is an emerging endoscopic procedure for treatment of gastroparesis. Although multiple studies have demonstrated impressive clinical …

Continue reading Duration or etiology of gastroparesis and clinical response after gastric per-oral endoscopic pyloromyotomy

Endoscopic aspects of temporary gastric electrical stimulator lead placement

Post written by Minesh Mehta, MD, and Gregg Wendorf, MD, from the Department of Medicine, Division of Gastroenterology, Hepatology, and Nutrition, University of Louisville, Louisville, Kentucky, USA. Our video details the technique and tools required to successfully and safely place temporary gastric electrodes endoscopically, even in the presence of retained gastric contents. Gastric electrical stimulation …

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Outcomes and quality-of-life assessment after GPOEM

Post written by Parit Mekaroonkamol, MD, Sunil Dacha, MD, and Qiang Cai, MD, PhD, from Emory University School of Medicine. Gastric per-oral endoscopic pyloromyotomy (GPOEM) is an emerging endoscopic procedure for treatment of gastroparesis. Due to its novelty, the existing data on its safety and efficacy is lacking. The purpose of our study was to …

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Gastric endoscopic muscle biopsy

Elizabeth Rajan, MD, FASGE from the Mayo Clinic College of Medicine in Rochester, Minnesota, USA describes this New Methods article "Innovative gastric endoscopic muscle biopsy to identify all cell types, including myenteric neurons and interstitial cells of Cajal in patients with idiopathic gastroparesis: a feasibility study (with video)." The pathophysiology of some gastrointestinal neuromuscular diseases …

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