Laparoscopic pyloroplasty versus endoscopic per-oral pyloromyotomy for the treatment of gastroparesis

Surgical Endoscopy
Joshua P LandreneauJohn Rodriguez

Abstract

Gastroparesis is a debilitating functional disorder of the stomach characterized by delayed gastric emptying absent an obstructive etiology. Surgical or endoscopic disruption of the pylorus has been utilized to treat this disease, but there is little evidence comparing laparoscopic pyloroplasty (LP) with endoscopic per-oral pyloromyotomy (POP). Herein we describe our experience at our institution using a propensity-matched cohort study to compare outcomes between these procedures. All patients who underwent LP for the treatment of gastroparesis from October 2014 through September 2017 at our institution were retrospectively reviewed. Propensity scoring was used to match these patients 1:1 to patients undergoing POP during this time period based on gender, age, and etiology of gastroparesis. Symptom scores using the Gastroparesis Cardinal Symptom Index (GCSI), scintigraphic gastric emptying studies (GES), and perioperative outcomes were compared between matched cohorts. Thirty patients underwent LP for gastroparesis during the study period which were matched 1:1 with patients undergoing POP. The etiology of gastroparesis was 63.3% idiopathic (n = 19), 20.0% post-surgical (n = 6), and 16.7% diabetic (n = 5) in both cohorts. Patie...Continue Reading

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Citations

May 8, 2019·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Herbert Mason HedbergMichael B Ujiki
Jan 15, 2019·Scandinavian Journal of Gastroenterology·Mattis BekkelundLars Aabakken
Jul 15, 2020·Surgical Endoscopy·Andrew M BrownSalvatore Docimo
Feb 23, 2020·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Jin YanDeliang Liu
May 1, 2020·Digestive Diseases and Sciences·A SullivanA Ruban
Jan 21, 2020·Langenbeck's Archives of Surgery·Arielle Marian LeeSantiago Horgan
Mar 6, 2019·World Journal of Gastroenterology : WJG·Parit MekaroonkamolQiang Cai
May 26, 2020·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Mohamed M AbdelfatahQiang Cai
Dec 29, 2020·World Journal of Gastrointestinal Endoscopy·Akshay B ShanbhagMadhusudhan R Sanaka
May 13, 2020·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Peiwen LiWenya Li
Jun 26, 2021·Journal of Gastroenterology and Hepatology·Lauren PioppoMichel Kahaleh
Nov 10, 2021·Journal of Gastroenterology and Hepatology·Tiing Leong Ang, Amol Bapaye

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