Section of Surgical Endoscopy, Department of General Surgery, The Cleveland Clinic Foundation, 9500 Euclid Avenue, A-100, Cleveland, OH, 44195, USA.
Department of General Surgery, The Cleveland Clinic Foundation- Abu Dhabi, Abu Dhabi, United Arab Emirates.
J Gastrointest Surg. 2017 Nov;21(11):1963-1968. doi: 10.1007/s11605-017-3510-2. Epub 2017 Jul 27.
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.
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.
In our experience, these methods provide promising initial results with low operative risks, although long-term outcomes remain to be determined.
治疗胃轻瘫的手术方法有很多,包括胃电刺激、幽门成形术和胃切除术。经内镜幽门切开术(POP)是一种较新的腔内治疗方法,可能为胃轻瘫提供一种侵袭性更小的介入治疗选择。
我们描述并展示了使用小弯侧入路进行 POP 的分步技术的视频。以下是从小弯侧入路完成 POP 手术的技术步骤。
根据我们的经验,这些方法具有较低的手术风险,提供了有前景的初步结果,尽管长期结果仍有待确定。