Gastric Per-Oral Endoscopic Myotomy (G-POEM) for the Treatment of Gastric Stenosis Post-Laparoscopic Sleeve Gastrectomy (LSG)

Obes Surg. 2019 Jul;29(7):2350-2354. doi: 10.1007/s11695-019-03893-6.

Abstract

Laparoscopic sleeve gastrectomy (LSG) has become the most common form of bariatric surgery performed worldwide. However, it is associated with potentially debilitating adverse events such as post-operative stenosis. Finding effective and minimally invasive treatments for such complications is of paramount importance. Gastric per-oral endoscopic myotomy (G-POEM) is a novel procedure developed over the past decade to treat conditions that delay gastric emptying. We present a case demonstrating the use of G-POEM in the successful endoscopic management of post-LSG gastric stenosis.

Keywords: Balloon dilation; G-POEM; Gastric stenosis; Reflux; Sleeve gastrectomy.

MeSH terms

  • Adult
  • Bariatric Surgery / adverse effects*
  • Constriction, Pathologic / surgery
  • Female
  • Humans
  • Postoperative Complications / surgery*
  • Pyloromyotomy / methods*
  • Reoperation / methods*
  • Stomach / surgery
  • Stomach Diseases / surgery*