Successful treatment of delayed Pylorospasm following Esophagectomy and Gastric pull-through by Gastric Per Oral Endoscopic Myotomy (G-POEM)

Abstract Text 55 year female with squamous cell carcinoma Esophagus underwent Neoadjuvant chemotherapy, Thoracolaparoscopic Esophagectomy, Gastric pull-through and pyloromyotomy 7 years back presented with persistent vomiting after food intake. A radionuclide scintigraphy showed delayed gastric emptying and upper endoscopy showed Gastric outlet obstruction due to pylorospasm. A 15 mm CRE balloon dilatation gave temporary relief. In view of persisting symptoms, a G-POEM was performed. A CT scan with oral gastrograffin on day 3 revealed no leak with smooth passage of contrast across pylorus. She was nitiated on liquid diet, without vomiting, and was discharged on day 4 post-procedure. She is under follow-up with good symptom relief. To our best knowledge, no case report of successful G-POEM for pylorospasm following Esophagectomy is present in literature review [1].

Video  http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/89b111b0-e889-49be-a7e0-a7f6e5d2eb26/Uploads/16849_G-POEM-3mts1.mp4

Publication History

Article published online:
27 March 2025

• References

• 1 Podboy AJ, Clarke JO, Nguyen LA. Gastric per-oral endoscopic myotomy for severe post-lung transplant gastroparesis: a single-center experience. J Heart Lung Transplant 2020; 39: 1153-1156