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KMID : 1048120190080030140
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International Journal of Gastrointestinal Intervention
2019 Volume.8 No. 3 p.140 ~ p.144
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Technical review of gastric per-oral endoscopic myotomy
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Podboy Alexander
Hwang Joo-Ha
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Abstract
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Gastroparesis, or symptomatic delayed gastric emptying, has seen a startling increase in prevalence of over last decade. Efficacy of initial dietary and medical therapies remain limited and patients that fail these first line remedies represent a significant therapeutic challenge. Recent procedural and technological advancements have led to the development of a promising endoscopic therapy for gastroparesis via an endoscopic pyloromyotomy, also referred to as gastric per-oral endoscopic myotomy (G-POEM) or per-oral endoscopic pyloromyotomy (POP). While initial preliminary reports of G-POEM or POP for the treatment of gastroparesis are encouraging, there is not a consensus standardized procedural approach and published practice patterns at each stage of the G-POEM procedure can vary wildly. The aim of our review is to provide an overview of the technical aspects of the G-POEM procedure framed within our current practice patterns and that of the published literature.
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KEYWORD
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Endoscopy, Gastroparesis, G-POEM, Pyloromyotomy
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