Introduction: Several surgical treatments exist for treatment of gastroparesis, including gastric electrical stimulation, pyloroplasty, and gastrectomy. Division of the pylorus by means of endoscopy, Per-Oral Pyloromyotomy (POP), is a newer, endoluminal therapy that may offer a less invasive, interventional treatment option.
Methods: We describe and present a video of our step by step technique for POP using a lesser curvature approach. The following are technical steps to complete the POP procedure from the lesser curve approach.
Conclusion: In our experience, these methods provide promising initial results with low operative risks, although long-term outcomes remain to be determined.
Keywords: G-POEM (gastric-per oral endoscopic myotomy); Gastroparesis; Intramural surgery; POP; Per-oral pyloromyotomy; Surgical endoscopy.