{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T09:17:23Z","timestamp":1785403043992,"version":"3.56.0"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endoscopy"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2002Traditional endoscopic treatments have limited success in gastric sleeve stenosis (GSS). Gastric peroral endoscopic myotomy (G-POEM) could conceivably obliterate the twist\/angulation that causes GSS through a tunneled stricturotomy. We report early outcomes of G-POEM for GSS treatment.<\/jats:p><jats:p>\n          Methods\u2002We retrospectively reviewed all patients with GSS treated with G-POEM at our center. The primary end point was clinical success, defined as symptom improvement with resumption of adequate oral intake, without requiring further intervention.<\/jats:p><jats:p>\n          Results\u200213 patients (mean age 43\u200a\u00b1\u200a10.9 years; 12 female) underwent G-POEM for predominantly helical (11\/13, 85\u200a%) GSS. Three (23\u200a%) had concurrent sleeve leak and 10 (77\u200a%) had prior GSS treatment. Two intraoperative complications occurred, with no deviation to the procedure; no major complications occurred. At median follow-up of 175 (interquartile range [IQR] 119\u2013260) days, clinical success was achieved in 10 patients (77\u200a%). Median Gastroparesis Cardinal Symptom Index score in responders decreased from 2.06 (IQR 1.5\u20132.8) to 0.39 (IQR 0.2\u20130.5). Three patients (23\u200a%) required surgical revision.<\/jats:p><jats:p>\n          Conclusions\u2002G-POEM was feasible and safe, and may provide an alternative option for those averse to undergoing surgical revision for treatment of GSS.<\/jats:p>","DOI":"10.1055\/a-1544-4923","type":"journal-article","created":{"date-parts":[[2021,7,5]],"date-time":"2021-07-05T23:51:07Z","timestamp":1625529067000},"page":"376-381","source":"Crossref","is-referenced-by-count":20,"title":["Gastric per-oral endoscopic myotomy (G-POEM) for the treatment of gastric sleeve stenosis: a feasibility and safety study"],"prefix":"10.1055","volume":"54","author":[{"given":"Linda Y.","family":"Zhang","sequence":"additional","affiliation":[{"name":"Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, Baltimore, Maryland, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcia I.","family":"Canto","sequence":"additional","affiliation":[{"name":"Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, Baltimore, Maryland, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael A.","family":"Schweitzer","sequence":"additional","affiliation":[{"name":"Department of Surgery, Johns Hopkins Medical Institutions, Baltimore, Maryland, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mouen A.","family":"Khashab","sequence":"additional","affiliation":[{"name":"Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, Baltimore, Maryland, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivek","family":"Kumbhari","sequence":"additional","affiliation":[{"name":"Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, Baltimore, Maryland, United States"},{"name":"Gastroenterology and Hepatology, Mayo Clinic College of Medicine and Science, Jacksonville, Florida, United 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Dapri","year":"2009","journal-title":"Obes Surg"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"1655","DOI":"10.1007\/s11695-013-0993-0","article-title":"Laparoscopic management of persistent strictures after laparoscopic sleeve gastrectomy","volume":"23","author":"R Vilallonga","year":"2013","journal-title":"Obes Surg"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1055\/s-0042-113127","article-title":"Keeping the fistula open: paradigm shift in the management of leaks after bariatric surgery?","volume":"48","author":"V Kumbhari","year":"2016","journal-title":"Endoscopy"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1007\/s00464-017-5709-4","article-title":"Endoscopic management of post-laparoscopic sleeve gastrectomy stenosis","volume":"32","author":"V Deslauriers","year":"2018","journal-title":"Surg Endosc"},{"key":"ref16","first-page":"59","article-title":"Use of endoscopic septotomy for the treatment of late 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