Endoscopic approaches to gastroparesis

Curr Opin Gastroenterol. 2015 Sep;31(5):368-73. doi: 10.1097/MOG.0000000000000207.


Purpose of review: This review covers the cause, evaluation and treatment options for gastroparesis. Symptoms of delayed gastric emptying are increasingly seen by gastroenterologists and gastrointestinal surgeons. Endoscopy - both laparoscopic and flexible - is increasingly important in treatment algorithms for this problem.

Recent findings: Gastroparesis is increasingly being seen in clinical practice. A progressive algorithm needs to be followed in these challenging cases: starting with medical treatment and diet modification, progressing through endoscopic treatments including new ones such as per-oral pyloromyotomy, and finally laparoscopic treatments including gastrectomy.

Summary: Endoscopic interventions are effective treatments for certain gastroparesis patients. New procedures offer a minimally invasive alternative to more radical options and should probably be more widely adopted.

MeSH terms

  • Abdominal Pain / etiology
  • Algorithms
  • Endoscopy, Gastrointestinal*
  • Gastrectomy
  • Gastric Emptying
  • Gastroparesis / diagnosis*
  • Gastroparesis / pathology
  • Gastroparesis / surgery
  • Humans
  • Laparoscopy*
  • Pylorus / surgery*
  • Severity of Illness Index
  • Treatment Outcome