Gastric per-oral endoscopic myotomy (G-POEM) for the treatment of gastric sleeve stenosis: a feasibility and safety study.
Endoscopy
; 54(4): 376-381, 2022 04.
Article
em En
| MEDLINE
| ID: mdl-34225370
ABSTRACT
BACKGROUND:
Traditional endoscopic treatments have limited success in gastric sleeve stenosis (GSS). Gastric peroral endoscopic myotomy (G-POEM) could conceivably obliterate the twist/angulation that causes GSS through a tunneled stricturotomy. We report early outcomes of G-POEM for GSS treatment.METHODS:
We retrospectively reviewed all patients with GSS treated with G-POEM at our center. The primary end point was clinical success, defined as symptom improvement with resumption of adequate oral intake, without requiring further intervention.RESULTS:
13 patients (mean age 43â±â10.9 years; 12 female) underwent G-POEM for predominantly helical (11/13, 85â%) GSS. Three (23â%) had concurrent sleeve leak and 10 (77â%) had prior GSS treatment. Two intraoperative complications occurred, with no deviation to the procedure; no major complications occurred. At median follow-up of 175 (interquartile range [IQR] 119-260) days, clinical success was achieved in 10 patients (77â%). Median Gastroparesis Cardinal Symptom Index score in responders decreased from 2.06 (IQR 1.5-2.8) to 0.39 (IQR 0.2-0.5). Three patients (23â%) required surgical revision.CONCLUSIONS:
G-POEM was feasible and safe, and may provide an alternative option for those averse to undergoing surgical revision for treatment of GSS.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Acalasia Esofágica
/
Cirurgia Endoscópica por Orifício Natural
/
Piloromiotomia
Tipo de estudo:
Etiology_studies
/
Observational_studies
Limite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Endoscopy
Ano de publicação:
2022
Tipo de documento:
Article