Outcomes and Future Directions of Per-Oral Endoscopic Pyloromyotomy: A View from France

Gastrointest Endosc Clin N Am. 2019 Jan;29(1):139-149. doi: 10.1016/j.giec.2018.08.008. Epub 2018 Sep 24.

Abstract

Gastroparesis is a challenging functional gastroenterological disorder, the complex pathophysiology of which hampers development of therapeutic modalities. Per-oral pyloromyotomy (POP) is a promising endoscopic therapy with a short-term clinical success rate of greater than 80%. Interest in POP is increasing, particularly in France, a country in which there is considerable expertise in submucosal endoscopy and functional disorders. Long-term follow-up and pyloric function evaluation are needed to assess the efficacy of POP in gastroparetic patients.

Keywords: EndoFLIP; Gastric POEM; Gastroparesis; Per-oral pyloromyotomy; Refractory gastroparesis; Severe gastroparesis.

Publication types

  • Review

MeSH terms

  • Forecasting
  • France
  • Gastroparesis / surgery*
  • Gastroscopy
  • Humans
  • Pyloromyotomy / trends*
  • Pylorus / surgery*
  • Treatment Outcome