Critical Decision Making: Endoscopic Pyloromyotomy

Endoscopic pylormyotomy is a new very minimally invasive treatment option for delayed gastric emptying—an increasingly common clinical problem. However, as with any novel procedure, critical decision-making is necessary to ensure optimal patient outcomes. In this article, we discuss the various factors that should be considered when deciding whether to perform G-POEM, including patient selection, pre-operative workup including newer dynamic test modalities, technical considerations, and post-operative management. We also highlight potential complications and their management. By understanding the critical decision-making process involved in G-POEM, physicians can optimize patient outcomes and improve overall success rates of this procedure.