Gastric peroral endoscopic myotomy for gastroparesis: making sense of the pros

Prospective study on the efficacy of endoscopic through-the-scope tack and suture system for gastric peroral endoscopic myotomy mucosal incision site closure

“…G-POEM is a promising pylorus-directed therapy for medically refractory gastroparesis 1 2 . Secure closure of the mucosotomy after G-POEM is indispensable in restoring luminal integrity and avoiding major morbidity.…”

“…

Gastric peroral endoscopic myotomy (G-POEM) is a promising pylorus directed therapy for gastroparesis syndrome, a chronic debilitation condition characterized by delayed gastric emptying in the absence of mechanical obstruction [1,2]. As opposed to esophageal POEM, mucosal incision closure during G-POEM can be technically more challenging due to several factors, including the notoriously thicker gastric mucosa and often looped position of the endoscope in the distal stomach [3].

…”

Endoscopy: Scoping the Way Forward

“…In addition to exploring procedures such as endoscopic vacuum therapy (12) and endoscopic sleeve gastroplasty (13), we highlight a number of new procedural techniques, such as endoscopic approaches to cholecystitis (14,15), advances in bariatric endoscopy (16), and the novel field of endohepatology with liver biopsy and recurrent hepatic encephalopathy (4,17,18). There is also a major focus on the expanding role of artificial intelligence in endoscopy through editorials and trials that lay out the current and future roadmap toward effective adoption of these techniques over time (19–22). The articles in this issue will be nothing short of practice changing for the clinical gastroenterologist.…”