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

Meta Tag

Concept Neoesophagus

Concept Delayed Gastric Emptying

Concept Endoscopic Remodeling Techniques

Concept Workup

Concept Esophagectomy

Keywords

gastroparesis

neosophagus

modified procedure

suturing techniques

gastric plastic delayed emptying

Neoesophagus

Delayed Gastric Emptying

Endoscopic Remodeling Techniques

Workup

Esophagectomy