ASGE DDW Videos from Around the World | 2025-MODIFIED PER-ORAL PLICATION OF (NEO-)ESOPHAGUS (MODIFIED POPE) FOR THE MANAGEMENT OF SUMP RETENTION IN GASTRIC PLASTY

MODIFIED PER-ORAL PLICATION OF (NEO-)ESOPHAGUS (MODIFIED POPE) FOR THE MANAGEMENT OF SUMP RETENTION IN GASTRIC PLASTY

Video Transcription

Video Summary

A 72-year-old woman underwent a modified procedure on her neosophagus after experiencing retention post-gastroplasty due to gastroparesis. Initial therapies, including dietary changes and medications, were unsuccessful, leading to the decision for a modified peroral application. This involved several suturing techniques to address delayed zones and improve passage through the pylorus. Post-procedure, the patient showed significant improvement, evidenced by an esophagogram, resulting in her discharge with no complications and a well-tolerated diet. After three months, she continued to show clinical improvement. This modified technique may offer a promising solution for managing refractory gastric plastic delayed emptying.

Asset Subtitle

Hugo Uchima

Keywords

gastroparesis

neosophagus

modified procedure

suturing techniques

gastric plastic delayed emptying