Table 3.
Gastric per-oral endoscopic myotomy
|
|
GPOEM
|
|
| PRO | High clinical success rate (71%-100%) | |
| High technical success rate (100%) | ||
| Less perioperative morbidity and operating time than surgery pyloromyotomy | ||
| Minimally invasive | ||
| Short hospitalization time | ||
| Positive predictive factors | Lower starting GCSI | |
| Fewer symptoms | ||
| Idiopathic and post-surgical GP | ||
| CONS | Limited to tertiary care center and very expert physicians | |
| Risk of pneumoperitoneum and abdominal pain | ||
| Poorer results for diabetic GP and female | ||
GPOEM: Gastric per-oral endoscopic myotomy; GCSI: Gastroparesis cardinal symptoms index.