Endoscopic approaches to gastroparesis

Area of Science:

• Gastroenterology
• Surgical Innovation

Background:

• Gastroparesis, characterized by delayed gastric emptying, is a growing clinical concern.
• Gastroenterologists and gastrointestinal surgeons encounter these complex cases with increasing frequency.

Purpose of the Study:

• To review the causes, evaluation methods, and treatment strategies for gastroparesis.
• To highlight the evolving role of endoscopic interventions in gastroparesis management.

Main Methods:

• Comprehensive review of current literature on gastroparesis.
• Analysis of treatment algorithms, including medical, dietary, endoscopic, and surgical options.

Main Results:

• Gastroparesis is a prevalent condition requiring a structured management plan.
• Endoscopic treatments, such as per-oral pyloromyotomy, are emerging as effective options.
• Laparoscopic procedures, including gastrectomy, remain as definitive treatments.

Conclusions:

• Endoscopic interventions provide effective, minimally invasive treatment for select gastroparesis patients.
• New endoscopic procedures represent a viable alternative to more invasive surgical options.
• Wider adoption of these advanced endoscopic techniques is recommended.