Modified Per-Oral Plication of neo-Esophagus (modified POPE) for the Management of Sump Retention in Gastric Plasty

Abstract Text A 72-year-old patient presented with oral intolerance and required total parenteral nutrition due to worsening dysphagia following esophagectomy and gastric pull-up (neo-esophagus). After multidisciplinary discussion, a modified Per-Oral Plication of neo-Esophagus (POPE) was performed. The procedure included endoscopic mucosal resection to enhance tissue apposition and suturing using a double-channel endoscope with various patterns (zig-zag and "U"-shaped) across four targeted areas in the sump. The patient was discharged after 48 hours without complications, tolerating an oral diet. At 3-month follow-up, the patient demonstrated clinical improvement, remission of symptoms, and maintained a regular diet without the need for parenteral nutrition [1] [2].

Video http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/8ac297b1-4f2c-4d0f-ad97-0b32bc4abed5/Uploads/16849_POPE_250%20mb.mp4

Publication History

Article published online:
27 March 2025

• References

• 1 Bazerbachi F, Blackmon SH, Ravi K, Wong Kee Song LM.. Endoscopic esophagoplasty for megaesophagus with sump stasis in end-stage achalasia. VideoGIE 2017; 2 (11): 274-275 PMID: 30128374; PMCID: PMC6095939
• 2 Hedberg HM, Attaar M, McCormack MS, Ujiki MB.. Per-Oral Plication of (Neo)Esophagus: Technical Feasibility and Early Outcomes. J Gastrointest Surg 2023; 27 (8): 1531-1538 Epub 2023 Apr 13. PMID: 37052876; PMCID: PMC10100616