Efficacy of Combined Gastric Peroral Endoscopic Myotomy and Transpyloric Stenting: A Case Report and Review of the Literature

A 65-year-old man with a history of idiopathic gastroparesis underwent successful gastric peroral endoscopic myotomy (G-POEM) with simultaneous transpyloric stenting with complete symptom resolution and normalization of Gastroparesis Cardinal Symptom Index with long-term relief. There are currently no data on the concurrent use of these 2 endoscopic techniques. Through this case, we postulate that transpyloric stenting alters the natural healing of the myotomy, preventing fibrosis and restenosis of the gastric outlet, increasing efficacy and long-term durability of G-POEM.