Abstract Text A 65-year-old male with a history of hiatal hernia repair complicated with postoperative
gastroparesis (large gastric food bezoars on endoscopy, gastric emptying of 14% at
4 hours). His GCSI score was 2.8. Hemoglobin A1c 6.8.
Endoscopy showed food bezoars that were cleaned and a spastic pylorus.
In order to avoid swirling away from the pylorus, a preemtive submucosal injection
with a blue viscous solution was done starting from the pylorus and ending 3 cm proximally.
A horizontal mucosal incision was performed followed by submucosal dissection following
the blue viscous solution until the pylorus was reached. Two full-thickness myotomies
were performed. The tunnel entry was closed using an endoscopic suturing device. [1]
His symptoms remarkably improved (GCSI went down to 0.2).
Video
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