Outcomes of per oral endoscopic pyloromyotomy in gastroparesis worldwide

World J Gastroenterol. 2019 Feb 28;25(8):909-922. doi: 10.3748/wjg.v25.i8.909.

Abstract

Per oral endoscopic pyloromyotomy (POP), also known as gastric per-oral endoscopic myotomy (GPOEM), is a novel procedure with promising potential for the treatment of gastroparesis. As more data emerge and the procedure is becoming more recognized in clinical practice, its safety and efficacy need to be carefully evaluated. Appropriate patient selection for favorable clinical success prediction after GPOEM also needs additional research. This review aims to systemically summarize the existing data on clinical outcomes of POP. Symptomatologic responses to the procedure, its adverse effects, procedural techniques, and predictive factors of clinical success are also discussed.

Keywords: Gastric per-oral endoscopic myotomy; Gastroparesis; Outcomes; Per oral endoscopic pyloromyotomy; Pyloromyotomy.

Publication types

  • Review

MeSH terms

  • Gastroparesis / surgery*
  • Gastroscopy / methods*
  • Humans
  • Patient Selection*
  • Pyloromyotomy / methods*
  • Treatment Outcome