Gastroparesis managed with peroral endoscopic pyloromyotomy

Proc (Bayl Univ Med Cent). 2019 Sep 23;33(1):49-50. doi: 10.1080/08998280.2019.1656007. eCollection 2020 Jan.

Abstract

Gastroparesis is delayed gastric emptying in the absence of mechanical obstruction. Cases are attributed to narcotic use, smoking, diabetes, and postsurgical complications; however, several incidences are unknown. Treatment options include diet modification, gut-stimulating medications (e.g., metoclopramide, domperidone), laparoscopic pyloroplasty, and, in the most severe cases, partial gastrectomy with Roux-en-Y reconstruction. Recently, a novel therapy has been developed, peroral endoscopic pyloromyotomy (POP). This procedure is similar to a laparoscopic pyloroplasty; however, it is performed completely endoscopically, thus negating the need for incisions. Here we present a case of gastroparesis treated with this novel technique.

Keywords: Delayed gastric emptying; gastroesophageal reflux; gastroparesis; peroral endoscopic pyloromyotomy.

Publication types

  • Case Reports