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2015 ; 21
(22
): 6842-9
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Endoscopic treatment of gastroparesis
#MMPMID26078560
McCarty TR
; Rustagi T
World J Gastroenterol
2015[Jun]; 21
(22
): 6842-9
PMID26078560
show ga
Gastroparesis has traditionally been a largely medically managed disease with
refractory symptoms typically falling under the umbrella of the surgical domain.
Surgical options include, but are not limited to, gastrostomy, jejunostomy,
pyloromyotomy, or pyloroplasty, and the Food and Drug Administration approved
gastric electrical stimulation implantation. Endoscopic management of
gastroparesis most commonly involves intrapyloric botulinum toxin injection;
however, there exists a variety of endoscopic approaches on the horizon that have
the potential to radically shift standard of care. Endoscopic management of
gastroparesis seeks to treat delayed gastric emptying with a less invasive
approach compared to the surgical approach. This review will serve to highlight
such innovative and potentially transformative, endoscopic interventions
available to gastroenterologists in the management of gastroparesis.