A 37-year-old patient with clinical signs of gastroparesis underwent a gastric peroral endoscopic pyloromyotomy (G-POEM) technique. After creating the submucosal tunnel and sectioning the pylorus, it was necessary to suture the gastric mucosotomy. Generally, this is done with standard endoscopic clips, but given that the gastric mucosa and muscular mucosa are thicker than the esophageal mucosa, it is sometimes difficult to close the mucosotomy, and in other cases early dehiscence of the closure has been described, requiring a second endoscopic closure [1].
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Rosón et al. (2024) studied this question.
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