Matthew T Allemang1, Andrew T Strong2, Ivy N Haskins2, John Rodriguez2, Jeffrey L Ponsky2, Matthew Kroh3. 1. Section of Surgical Endoscopy, Department of General Surgery, The Cleveland Clinic Foundation, 9500 Euclid Avenue, A-100, Cleveland, OH, 44195, USA. allemam@ccf.org. 2. Section of Surgical Endoscopy, Department of General Surgery, The Cleveland Clinic Foundation, 9500 Euclid Avenue, A-100, Cleveland, OH, 44195, USA. 3. Department of General Surgery, The Cleveland Clinic Foundation- Abu Dhabi, Abu Dhabi, United Arab Emirates.
Abstract
INTRODUCTION: 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. METHODS: 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. CONCLUSION: In our experience, these methods provide promising initial results with low operative risks, although long-term outcomes remain to be determined.
INTRODUCTION: 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. METHODS: 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. CONCLUSION: In our experience, these methods provide promising initial results with low operative risks, although long-term outcomes remain to be determined.
Authors: Juan P Toro; Nathaniel W Lytle; Ankit D Patel; S Scott Davis; Jennifer A Christie; J Patrick Waring; John F Sweeney; Edward Lin Journal: J Am Coll Surg Date: 2013-12-24 Impact factor: 6.113
Authors: Rok Seon Choung; G Richard Locke; Cathy D Schleck; Alan R Zinsmeister; L Joseph Melton; Nicholas J Talley Journal: Am J Gastroenterol Date: 2011-11-15 Impact factor: 10.864
Authors: P Mekaroonkamol; L Y Li; S Dacha; Y Xu; S D Keilin; F F Willingham; Q Cai Journal: Neurogastroenterol Motil Date: 2016-05-15 Impact factor: 3.598
Authors: Dennis A Revicki; Anne M Rentz; Dominique Dubois; Peter Kahrilas; Vincenzo Stanghellini; Nicholas J Talley; Jan Tack Journal: Qual Life Res Date: 2004-05 Impact factor: 4.147
Authors: Roman V Petrov; Charles T Bakhos; Abbas E Abbas; Zubair Malik; Henry P Parkman Journal: Gastroenterol Clin North Am Date: 2020-06-20 Impact factor: 3.806
Authors: Andrew T Strong; Joshua P Landreneau; Michael Cline; Matthew D Kroh; John H Rodriguez; Jeffrey L Ponsky; Kevin El-Hayek Journal: J Gastrointest Surg Date: 2019-02-26 Impact factor: 3.452
Authors: Sarah Marowski; Yiwei Xu; Jake A Greenberg; Luke M Funk; Anne O Lidor; Amber L Shada Journal: Surg Endosc Date: 2020-10-06 Impact factor: 4.584
Authors: Joshua P Landreneau; Andrew T Strong; Kevin El-Hayek; Chao Tu; James Villamere; Jeffrey L Ponsky; Matthew D Kroh; John H Rodriguez Journal: Surg Endosc Date: 2018-07-17 Impact factor: 4.584
Authors: Karime Lucas Uemura; Dalton Chaves; Wanderley M Bernardo; Ricardo Sato Uemura; Diogo Turiani Hourneaux de Moura; Eduardo Guimarães Hourneaux de Moura Journal: Endosc Int Open Date: 2020-06-16