How I Do It: Per-Oral Pyloromyotomy (POP)

Area of Science:

• Gastroenterology
• Surgical Innovation
• Endoluminal Therapy

Background:

• Gastroparesis management includes gastric electrical stimulation, pyloroplasty, and gastrectomy.
• Per-Oral Pyloromyotomy (POP) is an emerging endoluminal therapy for gastroparesis.
• POP presents a potentially less invasive treatment alternative.

Purpose of the Study:

• To describe the step-by-step technique for Per-Oral Pyloromyotomy (POP).
• To present a video illustrating the POP procedure via a lesser curvature approach.
• To evaluate the initial outcomes and safety of POP.

Main Methods:

• Detailed description of the POP procedure using a lesser curvature endoscopic approach.
• Video demonstration of the technical steps involved in performing POP.
• Focus on the specific maneuvers for pyloric division via endoluminal route.

Main Results:

• The described technique facilitates the POP procedure.
• Initial results suggest promising outcomes for this novel therapy.
• The procedure demonstrated low operative risks in initial experiences.

Conclusions:

• Per-Oral Pyloromyotomy (POP) is a viable endoluminal therapeutic option for gastroparesis.
• The lesser curvature approach is a feasible technique for POP.
• Further studies are needed to ascertain the long-term efficacy of POP.