We read with interest the article by Hedberg et al. whom reported their initial experience of endoscopic pyloromyotomy (G-POEM) combined with measures of pyloric distensibility with Endoflip before and after procedure.1 The physiopathology of gastroparesis is complex and involves gastric and/or pyloric motor dysfunction. Gastric emptying scintigraphy allows for confirming the diagnosis of gastroparesis, defined as the percentage of remaining radioisotope at 2 h (%2) > 60% and at 4H (%H4) > 10%. [...]
Monino, L., Vitton, V., Barthet, M., & Gonzalez, J.-M. (2019). Letter to the Editor: Initial Experience with Endoscopic Pyloromyotomy, with Description and Video of Technique. Journal of Gastrointestinal Surgery, 23(12), 2469-2470. https://doi.org/10.1007/s11605-019-04398-4 (Original work published 2019)