Lesser curve approach to gastric peroral endoscopic myotomy: a case series.

ABSTRACT:

Background and aims

Gastric peroral endoscopic myotomy (GPOEM) is a promising treatment for refractory gastroparesis. Initially, endoscopists performed GPOEM along the greater curve of the stomach. We, herein, present a novel modification with a lesser curve approach that offers the advantages of shorter tunnel and possibly better myotomy.

Methods

Three patients with refractory gastroparesis underwent GPOEM by use of the lesser curve approach. Two of the patients had a prior GPOEM by the traditional greater curve approach. All procedures were performed with the patient under general anesthesia. The specific tools used for incision, dissection, and myotomy are described. The patients were followed up closely, and the gastroparesis cardinal symptom index (GCSI) was calculated

SUBMITTER: Issa D 

PROVIDER: S-EPMC6835000 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature