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How I Do It: Per-Oral Pyloromyotomy (POP)
Matthew T Allemang1, Andrew T Strong2, Ivy N Haskins2
1Section of Surgical Endoscopy, Department of General Surgery, The Cleveland Clinic Foundation, 9500 Euclid Avenue, A-100, Cleveland, OH, 44195, USA. allemam@ccf.org.
Introduction:
Several surgical treatments exist for treatment of gastroparesis, including gastric electrical stimulation, pyloroplasty, and gastrectomy. Division of the pylorus by means of endoscopy, Per-Oral Pyloromyotomy (POP), is a newer, endoluminal therapy that may offer a less invasive, interventional treatment option.
Methods:
We describe and present a video of our step by step technique for POP using a lesser curvature approach. The following are technical steps to complete the POP procedure from the lesser curve approach.
Conclusion:
In our experience, these methods provide promising initial results with low operative risks, although long-term outcomes remain to be determined.
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