I congratulate Dr. Manol Jovani and Dr. Mouen Khashabʼs group, for publishing these two technical variants of gastric peroral myotomy (G-POEM), in the search for a better functional result. The rationale of these technical modifications is based on amplification of the functional myotomy, giving a better clinical result. The use of scintigraphy for functional assessment of gastric emptying could help us to understand failure of the initial technique and the benefit of the proposed modifications. Defining the patient group that will benefit is the biggest challenge, given the theoretically increased risk of complications.
22 April 2021 (online)
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