Int J Gastrointest Interv.  2019 Jul;8(3):140-144. 10.18528/ijgii190008.

Technical review of gastric per-oral endoscopic myotomy

• Podboy A
• Hwang JH

• KMID: 2454978
• DOI: http://doi.org/10.18528/ijgii190008

Abstract

Gastroparesis, or symptomatic delayed gastric emptying, has seen a startling increase in prevalence of over last decade. Efficacy of initial dietary and medical therapies remain limited and patients that fail these first line remedies represent a significant therapeutic challenge. Recent procedural and technological advancements have led to the development of a promising endoscopic therapy for gastroparesis via an endoscopic pyloromyotomy, also referred to as gastric per-oral endoscopic myotomy (G-POEM) or per-oral endoscopic pyloromyotomy (POP). While initial preliminary reports of G-POEM or POP for the treatment of gastroparesis are encouraging, there is not a consensus standardized procedural approach and published practice patterns at each stage of the G-POEM procedure can vary wildly. The aim of our review is to provide an overview of the technical aspects of the G-POEM procedure framed within our current practice patterns and that of the published literature.

Keyword

Endoscopy; Gastroparesis; G-POEM; Pyloromyotomy

MeSH Terms

Consensus
Endoscopy
Gastric Emptying
Gastroparesis
Humans
Prevalence