Abstract
Treatment algorithm in motility disorders of the esophagus that aid decision making is still evolving. Refractory gastroparesis is a chronic disorder with limited therapeutic options for its treatment with the exception of prokinetic agents. Surgical therapies, viz., pyloric stenting and surgical pyloroplasty, have shown to improve symptoms of gastroparesis in numerous studies. Peroral Endoscopic Pyloromyotomy, also known as Gastric Peroral Endoscopic Myotomy (G-POEM), is an extension to these pyloric-directed procedures. It is a minimally invasive procedure with advantages of shorter length of hospitalization and is an economical alternative to surgery. Impedance planimetry and gastric-emptying scintigraphy are tools for patients with gastroparesis. Appropriate selection of patients is vital to the overall procedural success. Ideal candidates are those who have predominant symptoms of nausea and vomiting rather than abdominal pain and bloating. Patients on long-term narcotic analgesics, diabetes mellitus, and other comorbidities do not substantially benefit from G-POEM. Serious adverse events, though seen, are rare with this procedure. We hereby review the indications, techniques, and outcomes of G-POEM.
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Maydeo, A. (2022). Endoscopic Pyloromyotomy (G-POEM): Indications, Techniques, and Outcomes. In: Testoni, P.A., Inoue, H., Wallace, M.B. (eds) Gastrointestinal and Pancreatico-Biliary Diseases: Advanced Diagnostic and Therapeutic Endoscopy. Springer, Cham. https://doi.org/10.1007/978-3-030-56993-8_36
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DOI: https://doi.org/10.1007/978-3-030-56993-8_36
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