Redo GPOEM for Refractory Gastroparesis: is it Feasible and Useful?

Abstract

Per oral endoscopic pyloromyotomy (GPOEM or POP) is relatively new endoscopic therapy for gastroparesis. Studies indicate that the short term and long term efficacy are promsing. However, some patients may have recurrence with nausea and vomiting again certain time after the index GPOEM. We present cases here with the short term outcome of second GPOEM. The result is promising. This is the first report of the outcome of second GPOEM and more patients are needed for further study.