First Description of Redo Gastric Per-Oral Endoscopic Myotomy for Refractory Gastroparesis: Technical Conduct and Outcomes

Mélissa Wills; Valentin Mocanu; Sol Lee; Salvador Navarrete; John Rodriguez; Andrew T. Strong; Jerry T. Dang; Matthew T. Allemang; Matthew Kroh

doi:10.1177/10926429251384091

September 30, 2025Journal of Laparoendoscopic & Advanced Surgical Techniques

First Description of Redo Gastric Per-Oral Endoscopic Myotomy for Refractory Gastroparesis: Technical Conduct and Outcomes

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Key Points

Redo G-POEM resulted in significantly improved outcomes for patients with refractory gastroparesis compared to previous treatments.
In this cohort, the safety profile of redo endoscopic myotomy appeared favorable, with manageable complications reported.
Technical aspects of the redo G-POEM indicate nuanced changes from initial procedures that enhance patient outcomes.
Findings may prompt further investigation into the long-term benefits and optimal techniques for repeat interventions.

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Implication

This analysis reveals the safety and effectiveness of redo endoscopic myotomy procedures in gastroparesis patients, suggesting improved management options.

Abstract

Introduction: Gastroparesis is a progressive disease that may require endoscopic or surgical intervention, such as gastric per oral endoscopic myotomy (G-POEM), when conservative measures are ineffective or not tolerated. Limited data exist on redo G-POEM safety and effectiveness. We describe outcomes of patients undergoing repeat G-POEM for refractory gastroparesis.

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Wills et al. (2025) studied this question.

synapsesocial.com/papers/68de84c45b556a9128e1c1b4 https://doi.org/10.1177/10926429251384091

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First Description of Redo Gastric Per-Oral Endoscopic Myotomy for Refractory Gastroparesis: Technical Conduct and Outcomes

Key Points

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

First Description of Redo Gastric Per-Oral Endoscopic Myotomy for Refractory Gastroparesis: Technical Conduct and Outcomes

Key Points

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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