JOURNAL ARTICLE

How I Do It: Per-Oral Pyloromyotomy (POP)

Matthew T Allemang, Andrew T Strong, Ivy N Haskins, John Rodriguez, Jeffrey L Ponsky, Matthew Kroh
Journal of Gastrointestinal Surgery 2017, 21 (11): 1963-1968
28752406

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.

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