G-POEM for gastroparesis: past, present and future.

IF 2.6 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY
Current Opinion in Gastroenterology Pub Date : 2023-09-01 Epub Date: 2023-05-11 DOI:10.1097/MOG.0000000000000950
Ishaan Vohra, Harishankar Gopakumar, Douglas G Adler
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引用次数: 0

Abstract

Purpose of review: Gastroparesis is a chronic debilitating condition with rising incidence and healthcare burden. As abdominal surgeries, diabetes, viral infections and autoimmune diseases become more prevalent, gastroparesis will continue to upsurge. Conservative treatment options for gastroparesis are limited by their side effects and short-term efficacy. Gastric endoscopic pyloromyotomy (G-POEM) is a novel incisionless endosurgical technique with excellent long-term outcomes. This review is in time, as the demand for G-POEM will continue to escalate.

Recent findings: This review encompasses the conservative and nonconservative treatment options for gastroparesis. G-POEM is a nonconservative treatment option, and the aim of this review is to discuss the variations in technique of G-POEM, short-term and long-term clinical efficacy of G-POEM and adverse events associated with it.

Summary: G-POEM has high technical and clinical success with minimal adverse events. G-POEM outcomes are similar or superior when compared with other treatment options for refractory gastroparesis. G-POEM is being widely adopted and will become the preferred treatment choice in patients with refractory gastroparesis.

治疗胃痉挛的 G-POEM:过去、现在和未来。
审查目的:胃瘫是一种使人衰弱的慢性疾病,发病率和医疗负担不断上升。随着腹部手术、糖尿病、病毒感染和自身免疫性疾病的流行,胃瘫的发病率将继续上升。胃瘫的保守治疗方案因其副作用和短期疗效而受到限制。胃内镜幽门切开术(G-POEM)是一种新型的无切口内外科技术,具有良好的长期疗效。由于对 G-POEM 的需求将继续攀升,因此本综述的发布恰逢其时:本综述涵盖了胃痉挛的保守和非保守治疗方案。G-POEM 是一种非保守治疗方案,本综述旨在讨论 G-POEM 技术的差异、G-POEM 的短期和长期临床疗效以及与之相关的不良反应。与其他治疗难治性胃瘫的方法相比,G-POEM 的疗效相似或更优。G-POEM 正在被广泛采用,并将成为难治性胃瘫患者的首选治疗方法。
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来源期刊
Current Opinion in Gastroenterology
Current Opinion in Gastroenterology 医学-胃肠肝病学
CiteScore
5.30
自引率
0.00%
发文量
137
审稿时长
6-12 weeks
期刊介绍: ​​​​​​​Published bimonthly and offering a unique and wide ranging perspective on the key developments in the field, each issue of Current Opinion in Gastroenterology features hand-picked review articles from our team of expert editors. With twelve disciplines published across the year – including gastrointestinal infections, nutrition and inflammatory bowel disease – every issue also contains annotated references detailing the merits of the most important papers.
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