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Another way in which a group presence can affect performance is social loafing—the exertion of less effort by a person working together with a group. Social loafing occurs when our individual performance cannot be evaluated separately from the group. Thus, group performance declines on easy tasks (Karau & Williams, 1993). Essentially individual group members loaf and let other group members pick up the slack. Because each individual’s efforts cannot be evaluated,...
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G-POEM in Belgium : a retrospective study.

J Barras1, M Poncin1, C Van Severen1

  • 1Departement of gastroenterology, CHU Liège, Belgium.

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|January 2, 2025
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Summary

Gastric peroral endoscopic myotomy (GPOEM) offers a promising treatment for gastroparesis, showing a 73.92% success rate and improving patient quality of life. Pre-procedure screening for somatization is recommended for non-responders.

Keywords:
G-POEMLengh of proceduregastroparesispredictive factorssomatization

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Area of Science:

  • Gastroenterology
  • Minimally Invasive Surgery
  • Endoscopy

Background:

  • Gastroparesis is a chronic gastrointestinal motility disorder with increasing prevalence.
  • Current treatment options for gastroparesis are limited and often ineffective.
  • Gastric peroral endoscopic myotomy (GPOEM) has emerged as a potentially superior therapeutic approach.

Purpose of the Study:

  • To evaluate the clinical efficacy and safety of GPOEM in patients with gastroparesis.
  • To assess the impact of GPOEM on patient-reported symptoms and quality of life.
  • To identify predictors of treatment success and potential complications.

Main Methods:

  • A retrospective analysis of 34 patients who underwent GPOEM for gastroparesis.
  • Assessment of symptom severity and quality of life using standardized questionnaires before and after the procedure in 23 patients.
  • Evaluation of clinical success rates and complication profiles.

Main Results:

  • An average clinical success rate of 73.92% was achieved.
  • The procedure demonstrated an excellent safety profile with only two minor complications.
  • Successful GPOEM significantly improved patients' quality of life and reduced proton pump inhibitor (PPI) use in those with reflux.

Conclusions:

  • GPOEM is an effective and safe treatment option for select gastroparesis patients, leading to significant symptom improvement and enhanced quality of life.
  • Patients who do not respond to GPOEM may be at higher risk for somatization, suggesting the utility of pre-intervention screening.
  • Further research should focus on identifying optimal patient selection criteria and exploring the long-term outcomes of GPOEM.