Journal
JOURNAL OF GASTROINTESTINAL SURGERY
Volume 21, Issue 11, Pages 1963-1968Publisher
SPRINGER
DOI: 10.1007/s11605-017-3510-2
Keywords
POP; Per-oral pyloromyotomy; G-POEM (gastric-per oral endoscopic myotomy); Gastroparesis; Intramural surgery; Surgical endoscopy
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Several surgical treatments exist for treatment of gastroparesis, including gastric electrical stimulation, pyloroplasty, and gastrectomy. Division of the pylorus by means of endoscopy, Per-Oral Pyloromyotomy (POP), is a newer, endoluminal therapy that may offer a less invasive, interventional treatment option. We describe and present a video of our step by step technique for POP using a lesser curvature approach. The following are technical steps to complete the POP procedure from the lesser curve approach. In our experience, these methods provide promising initial results with low operative risks, although long-term outcomes remain to be determined.
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