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Gastroparesis managed with peroral endoscopic pyloromyotomy
Jessica S Clothier1, Steven G Leeds1,2,3, Ahmed Ebrahim1
1College of Medicine, Texas A&M Health Sciences CenterDallasTexas.
Proceedings (Baylor University. Medical Center)
|February 18, 2020
Summary
Gastroparesis, a condition of delayed gastric emptying, can now be treated with a novel endoscopic procedure called peroral endoscopic pyloromyotomy (POP). This incisionless technique offers a new option for managing severe gastroparesis.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
Background:
- Gastroparesis is characterized by delayed gastric emptying without mechanical obstruction.
- Etiologies include diabetes, postsurgical complications, and unknown causes.
- Current treatments range from dietary changes to surgical interventions like laparoscopic pyloroplasty.
Observation:
- A novel endoscopic procedure, peroral endoscopic pyloromyotomy (POP), has been developed.
- POP mimics laparoscopic pyloroplasty but is performed entirely endoscopically.
- This approach avoids external incisions.
Findings:
- This case study presents the successful treatment of gastroparesis using peroral endoscopic pyloromyotomy (POP).
- The procedure was performed successfully in a patient with gastroparesis.
- The novel technique demonstrated feasibility and potential efficacy.
Implications:
- Peroral endoscopic pyloromyotomy (POP) represents a significant advancement in gastroparesis treatment.
- Endoscopic pyloromyotomy offers a less invasive alternative to traditional surgery.
- This technique may expand treatment options for patients with refractory gastroparesis.
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