Publication of the Week - 06/13/2025

Title

A New International Scheme for the Classification and Management of Clinical Outcomes Post-gastric Peroral Endoscopic Myotom

Authors

Yervant Ichkhanian, Marita Salame, John M. Wo, Thomas V. Nowak, Sarah Stainko, Akira Saito, Robert M. Siwiec, Amr Kais, Joo Ha Hwang, Andrew A. Li, Juliana Yang,Joseph R. Broucek, Tuba Esfandyari, Stephanie Joseph, Michael B. Ujiki, Ashley E. Williams, Jacob Moremen, Zane Gouda, Alexander Schlachterman, Kristina Hugova, Mohammad Al-Haddad

Journal

Clinical Gastroenterology and Hepatology

Abstract

Gastric peroral endoscopic myotomy (G-POEM) is an emerging treatment for gastroparesis, but clinical outcomes can be inconsistent; hence, it is vital to enhance our management strategies for patients with clinical failure. This was a multicenter retrospective review of patients who underwent G-POEM for refractory gastroparesis from September 2015 to November 2023. Clinical outcomes and management post-G- POEM were assessed and categorized into 4 types based on symptom improvement and gastric emptying metrics.