1-847-461-9798 — contact@newgress.com
logo

New Treatment Option for People with Gastroparesis

Severe gastroparesis is a disorder that can cause chronic digestive tract difficulties in patients.

“Patients with gastroparesis typically have feelings of nausea, episodic vomiting or abdominal bloating because the stomach is unable to empty normally after a meal,” says Enrico Oliveira Souto, M.D., gastroenterologist at the University of Miami Health System. “One of the causes is a failure of the pylorus valve, at the base of the stomach, to open and close correctly.”

Gastroparesis G-POEM Treatment

Dr. Enrico Souto

There are several options to treat gastroparesis, including:

  • medications
  • electrical stimulation
  • botox injections,
  • G-POEM, gastric peroral endoscopy myotomy – an advanced endoscopic procedure

“G-POEM is a minimally invasive procedure for opening the pylorus,” says Sunil Amin, M.D., M.P.H., gastroenterologist and director of endoscopy at The Lennar Foundation Medical Center. “This endoscopic approach can offer significant improvements to a patient’s lifestyle, and it expands our options for treating medically refractory gastroparesis.”

Drawing on the resources of the Miller School’s comprehensive endoscopy laboratory, the UHealth specialists can evaluate motility – how well food moves through the patient’s entire digestive tract – as well as the severity of symptoms based on the Gastroparesis Cardinal Symptom Index (GCSI).

Because gastroparesis has many causes, an accurate diagnosis is crucial for determining the best course of treatment,

“About 20 to 30% of patients with gastroparesis have problems with the pylorus, and may be candidates for G-POEM,” says Il J. Paik, M.D., gastroenterologist and director of the GI Motility Program. .

From left, Dr. Enrico Souto, Dr. Il J. Paik, and Dr. Sunil Amin.

For instance, Dr. Paik can use a wireless capsule or “smart pill” to measure temperatures, pressures, and transit time throughout the entire GI tract. “It’s a very benign diagnostic method that gives us plenty of data on the stomach and its ability to empty.”  If the pylorus appears to be the problem, Dr. Paik can perform a procedure called ENDOFLIP to assess the characteristics of the valve including diameter and distensibility.

G-POEM is a new application of an endoscopic procedure originally developed to remove cancerous lesions from the intestine without surgery, says Dr. Souto. “We are one of the few centers in Florida offering the G-POEM procedure, which facilitates the emptying of the stomach contents and so alleviates symptoms,” he says.

Some patients with gastroparesis have underlying conditions such as diabetes or obesity, or have undergone prior surgery, which can contribute to a poorly functioning pylorus, says Dr. Amin. “Patients who have been receiving temporary botox injections to relax the pylorus may be good candidates for the G-POEM procedure,” he added. “When gastroparesis is not responding to medical management, our team can evaluate the options and determine the best form of treatment.”

 


Original written by Richard Westlund for Inventum.


READ MORE

IBS symptoma at homeHow to reduce your IBS symptoms at home

If you were diagnosed with irritable bowel syndrome within the last few years, you’re familiar with how your GI tract typically responds to emotional stress, certain foods, and other triggers. Read more.

 

 

 


ovarian cancer screening

Researchers aims to get to a screening for ovarian cancers

For years, ovarian cancer has remained one of the leading causes of death for women with cancer.  Unfortunately, we still do not have a screening test for ovarian cancer. That means that by the time many women are diagnosed, they have advanced-stage disease, which is much more challenging to treat. Learn more from the experts.

Leave a Comment