Division of Digestive Diseases, Emory University School of Medicine, Atlanta, GA 30322, United States.
World J Gastroenterol. 2019 Feb 28;25(8):909-922. doi: 10.3748/wjg.v25.i8.909.
Per oral endoscopic pyloromyotomy (POP), also known as gastric per-oral endoscopic myotomy (GPOEM), is a novel procedure with promising potential for the treatment of gastroparesis. As more data emerge and the procedure is becoming more recognized in clinical practice, its safety and efficacy need to be carefully evaluated. Appropriate patient selection for favorable clinical success prediction after GPOEM also needs additional research. This review aims to systemically summarize the existing data on clinical outcomes of POP. Symptomatologic responses to the procedure, its adverse effects, procedural techniques, and predictive factors of clinical success are also discussed.
经口内镜下肌切开术(POP),也称为胃经口内镜下肌切开术(GPOEM),是一种治疗胃轻瘫具有广阔应用前景的新方法。随着更多数据的出现以及该技术在临床实践中得到更广泛的认可,其安全性和有效性需要进行仔细评估。为了预测 GPOEM 后的临床成功,还需要对合适的患者选择进行进一步研究。本综述旨在系统总结 POP 的临床结局的现有数据。还讨论了该手术的症状缓解情况、不良影响、手术技术以及临床成功的预测因素。