Pyloric EndoFlip and Its Clinical Use in Gastroparesis
DOI:
https://doi.org/10.22516/25007440.1183Keywords:
Gastroparesis, Pylorus, Gastric emptying, Electric impedance, EndoFLIPAbstract
Gastroparesis is a chronic disorder of gastric motility that results in marked impairment of quality of life and significant costs to health care systems. Medical therapies are limited in their management, thus, the reason for a growing enthusiasm for pylorus-targeted therapies. The functional luminal imaging probe (FLIP) is a useful diagnostic tool for assessing pylorus characteristics, especially in refractory cases, which could lead to a better management strategy and, in many cases, predict clinical response.
Downloads
References
Lacy BE, Wise JL, Cangemi DJ. Gastroparesis: time for a paradigm change. Curr Opin Gastroenterol. 2023;39(6):503-511. https://doi.org/10.1097/MOG.0000000000000978
Wadhwa V, Mehta D, Jobanputra Y, Lopez R, Thota PN, Sanaka MR. Healthcare utilization and costs associated with gastroparesis. World J Gastroenterol. 2017;23(24):4428-4436. https://doi.org/10.3748/wjg.v23.i24.4428
Ye Y, Yin Y, Huh SY, Almansa C, Bennett D, Camilleri M, et al. Epidemiology, Etiology, and Treatment of Gastroparesis: Real-World Evidence From a Large US National Claims Database. Gastroenterology. 2022;162(1):109-121.e5. https://doi.org/10.1053/j.gastro.2021.09.064
Camilleri M, Sanders KM. Gastroparesis. Gastroenterology. 2022 ;162(1):68-87.e1. https://doi.org/10.1053/j.gastro.2021.10.028
Mayor V, Aponte D, Prieto R, Orjuela E. Diagnóstico y tratamiento actual de la gastroparesia: una revisión sistemática de la literatura. Rev. colomb. Gastroenterol. 2020;35(4):471-484. https://doi.org/10.22516/25007440.561
Grover M, Farrugia G, Stanghellini V. Gastroparesis: a turning point in understanding and treatment. Gut. 2019;68(12):2238-2250. https://doi.org/10.1136/gutjnl-2019-318712
Olausson EA, Störsrud S, Grundin H, Isaksson M, Attvall S, Simrén M. A small particle size diet reduces upper gastrointestinal symptoms in patients with diabetic gastroparesis: a randomized controlled trial. Am J Gastroenterol. 2014;109(3):375-385. https://doi.org/10.1038/ajg.2013.453
Soliman H, Gourcerol G. Targeting the pylorus in gastroparesis: From physiology to endoscopic pyloromyotomy. Neurogastroenterol Motil. 2023;35(2):e14529. https://doi.org/10.1111/nmo.14529
Lacy BE, Tack J, Gyawali CP. AGA Clinical Practice Update on Management of Medically Refractory Gastroparesis: Expert Review. Clin Gastroenterol Hepatol. 2022;20(3):491-500. https://doi.org/10.1016/j.cgh.2021.10.038
Bromer MQ, Friedenberg F, Miller LS. Endoscopic pyloric injection of botulinum toxin A for the treatment of refractory gastroparesis. Gastrointest Endosc. 2005;61(7):833-839. https://doi.org/10.1016/S0016-5107(05)00328-7
Shada AL, Dunst CM, Pescarus R, Speer EA, Cassera M, Reavis KM, et al. Laparoscopic pyloroplasty is a safe and effective first-line surgical therapy for refractory gastroparesis. Surg Endosc. 2016;30(4):1326-1332. https://doi.org/10.1007/s00464-015-4385-5
Shen S, Luo H, Vachaparambil C. Gastric peroral endoscopic pyloromyotomy versus gastric electrical stimulation in the treatment of refractory gastroparesis: a propensity score-matched analysis of long-term outcomes. Endoscopy. 2020;52(5):349-358. https://doi.org/10.1055/a-1111-8566
Spadaccini M, Maselli R, Chandrasekar VT, Anderloni A, Carrara S, Galtieri PA, et al. Gastric peroral endoscopic pyloromyotomy for refractory gastroparesis: a systematic review of early outcomes with pooled analysis. Gastrointest Endosc. 2020;91(4):746-752. https://doi.org/10.1016/j.gie.2019.11.039
Mohan BP, Chandan S, Jha LK, Khan SR, Kotagiri R, Kassab LL, et al. Clinical efficacy of gastric per-oral endoscopic myotomy (G-POEM) in the treatment of refractory gastroparesis and predictors of outcomes: a systematic review and meta-analysis using surgical pyloroplasty as a comparator group. Surg Endosc. 2020;34(8):3352-3367. https://doi.org/10.1007/s00464-019-07135-9
Vohra I, Gopakumar H, Adler DG. G-POEM for gastroparesis: past, present and future. Curr Opin Gastroenterol. 2023;39(5):390-396. https://doi.org/10.1097/MOG.0000000000000950
Hani A, Delgado D, Bejarano J, Meza D, Ramírez R, Pinto M, et al. EndoFLIP: una nueva tecnología. Rev. colomb. Gastroenterol. 2021;36(2):227-240. https://doi.org/10.22516/25007440.741
Lorenz F, Brunner S, Berlth F, Dratsch T, Babic B, Fuchs HF, et al. Using an Endoluminal Functional Lumen Imaging Probe (EndoFLIP™) to Compare Pyloric Function in Patients with Gastroparesis to Patients After Esophagectomy. J Gastrointest Surg. 2023;27(4):682-690. https://doi.org/10.1007/s11605-022-05502-x
Saadi M, Yu D, Malik Z, Parkman HP, Schey R. Pyloric sphincter characteristics using EndoFLIP® in gastroparesis. Rev Gastroenterol Mex (Engl Ed). 2018;83(4):375-384. English, Spanish. https://doi.org/10.1016/j.rgmx.2018.02.013
Yim B, Gregor L, Siwiec RM, Al-Haddad M, Nowak TV, Wo JM. Pyloric Functional Lumen Imaging Probe Measurements Are Dependent on Balloon Position. J Neurogastroenterol Motil. 2023;29(2):192-99. https://doi.org/10.5056/jnm22053
Desprez C, Jacques J, Clavier T, Wallenhorst T, Leroi AM, Gourcerol G. Impact of anesthetics on pyloric characteristics measured using the EndoFLIP® system in patients with gastroparesis. Neurogastroenterol Motil. 2023;35(10):e14651. https://doi.org/10.1111/nmo.14651
Gourcerol G, Tissier F, Melchior C, Touchais JY, Huet E, Prevost G, et al. Impaired fasting pyloric compliance in gastroparesis and the therapeutic response to pyloric dilatation. Aliment Pharmacol Ther. 2015;41(4):360-367. https://doi.org/10.1111/apt.13053
Zheng T, Vosoughi K, Busciglio I, Tebay L, Burton D, Camilleri M. Fasting pyloric diameter and distensibility by functional endoluminal imaging probe in unsedated healthy volunteers. Neurogastroenterol Motil. 2022;34(10):e14386. https://doi.org/10.1111/nmo.14386
Jacques J, Pagnon L, Hure F, Legros R, Crepin S, Fauchais AL, et al. Peroral endoscopic pyloromyotomy is efficacious and safe for refractory gastroparesis: prospective trial with assessment of pyloric function. Endoscopy. 2019;51(1):40-49. https://doi.org/10.1055/a-0628-6639
Malik Z, Sankineni A, Parkman HP. Assessing pyloric sphincter pathophysiology using EndoFLIP in patients with gastroparesis. Neurogastroenterol Motil. 2015;27(4):524-31. https://doi.org/10.1111/nmo.12522
Desprez C, Chambaz M, Melchior C, Basile P, Prevost G, Jacques J, et al. Assessment of pyloric sphincter distensibility and pressure in patients with diabetic gastroparesis. Neurogastroenterol Motil. 2021;33(8):e14064. https://doi.org/10.1111/nmo.14064
Jehangir A, Malik Z, Petrov RV, Parkman HP. EndoFLIP and pyloric dilation for gastroparesis symptoms refractory to pyloromyotomy/pyloroplasty. Dig Dis Sci. 2020;66(8):2682-2690. https://doi.org/10.1007/s10620-020-06510-0
Murray FR, Schindler V, Hente JM, Fischbach LM, Schnurre L, Deibel A, et al. Pyloric dilation with the esophageal functional lumen imaging probe in gastroparesis improves gastric emptying, pyloric distensibility, and symptoms. Gastrointest Endosc. 2021;94(3):486-494. https://doi.org/10.1016/j.gie.2021.03.022
Desprez C, Roman S, Leroi AM, Gourcerol G. The use of impedance planimetry (Endoscopic Functional Lumen Imaging Probe, EndoFLIP® ) in the gastrointestinal tract: A systematic review. Neurogastroenterol Motil. 2020;32(9):e13980. https://doi.org/10.1111/nmo.13980
Vosoughi K, Ichkhanian Y, Jacques J, Aadam AA, Benias PC, Law R, et al. Role of endoscopic functional luminal imaging probe in predicting the outcome of gastric peroral endoscopic pyloromyotomy (with video). Gastrointest Endosc. 2020;91(6):1289-1299. https://doi.org/10.1016/j.gie.2020.01.044
Conchillo JM, Straathof JWA, Mujagic Z, Brouns JH, Bouvy ND, Keszthelyi D, et al. Gastric peroral endoscopic pyloromyotomy for decompensated gastroparesis: comprehensive motility analysis in relation to treatment outcomes. Endosc Int Open. 2021;9(2):E137-E144. https://doi.org/10.1055/a-1311-0859

Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Revista colombiana de Gastroenterología

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Aquellos autores/as que tengan publicaciones con esta revista, aceptan los términos siguientes:
Los autores/as ceden sus derechos de autor y garantizarán a la revista el derecho de primera publicación de su obra, el cuál estará simultáneamente sujeto a la Licencia de reconocimiento de Creative Commons que permite a terceros compartir la obra siempre que se indique su autor y su primera publicación en esta revista.
Los contenidos están protegidos bajo una licencia de Creative Commons Reconocimiento-NoComercial-SinObraDerivada 4.0 Internacional.

Article metrics | |
---|---|
Abstract views | |
Galley vies | |
PDF Views | |
HTML views | |
Other views |