Pyloric dilation with the esophageal functional lumen imaging probe in gastroparesis improves gastric emptying, pyloric distensibility, and symptoms
نویسندگان
چکیده
Background and AimsThe role of decreased pyloric distensibility in gastroparesis as measured by the endolumenal functional luminal imaging probe (EndoFLIP) has been receiving increasing attention. In this study, we present clinical outcomes to dilation with esophageal FLIP (EsoFLIP) regard gastric emptying, symptom evolution, metrics.MethodsPatients evaluated for (gastric emptying studies t1/2 ?180 minutes during 13C-octanoic acid breath test and/or remnants gastroscopy after a sufficient fasting period) were scheduled EsoFLIP controlled dilation. Pre- postprocedural studies, questionnaires (Patient Assessment Upper GI Symptoms Severity Index [PAGI-SYM; including Gastroparesis Cardinal Symptom Index] Patient Quality Life [PAGI-QOL]), metrics documented. Dilation was conducted according self-developed algorithm.ResultsForty-six patients analyzed (72% women; median age, 39 years [range, 18-88]). Etiologies diabetic 10 (22%), idiopathic 33 (72%), postoperative 3 (6%). Postprocedural time from 211 179 (P = .001). accordance, distensibility, PAGI-SYM, PAGI-QOL, values improved significantly. After follow-up 3.9 months, 57% all treated returned reported symptoms.ConclusionsPyloric shows value treatment gastroparesis, both subjectively objectively. Long-term assess efficacy comparative trials are warranted. The metrics. Patients algorithm. Forty-six symptoms. Pyloric
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ژورنال
عنوان ژورنال: Gastrointestinal Endoscopy
سال: 2021
ISSN: ['1085-8741', '0016-5107', '1097-6779']
DOI: https://doi.org/10.1016/j.gie.2021.03.022