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ENDOSCOPIC PYLOROMYOTOMY: AN INCISIONLESS PROCEDURE FOR DELAYED GASTRIC EMPTYING
Herbert M. Hedberg*1, Michael Ujiki2
1Surgery, University of Chicago, Chicago, IL; 2Surgery, NorthShore University HealthSystem, Chicago, IL

Gastroparesis is most often caused by diabetes, but is also associated with connective tissue and neurologic disorders, medications, and vagal nerve injury. There are medical and endoscopic treatments for gastroparesis, but refractory disease often requires surgical bypass or pyloromyotomy. Endoscopic pyloromyotomy was first described in 2013, and uses a technique similar to that of per-oral endoscopic myotomy for achalasia to cut the pylorus muscle of the stomach. In this video the technique for endoscopic pyloromyotomy is demonstrated, and results of the few case reports in literature are discussed.


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