G-POEM Procedure for Gastroparesis | Danielle’s Story

(gentle music)>>Did you try some glasses on, Justin? Do you wanna try some on?>>A Child’s Eyes is our family business.>>The difference is, this has padding the whole the whole way this way.>>It’s an optical shop just dedicated to fitting children with glasses.>>She just didn’t have a
lot of energy after a while, and so that was, that was tough.>>It was about seven years ago when I started to get
some pain in my abdomen, some nauseousness. Always bloating was the other thing, and just eating a couple bites of food, I would feel sick from that. I saw a gastroenterologist for the first time in 2012, and he did an upper endoscopy and found that I still
had food in my stomach after fasting for 12 hours, and then he was suspicious
of gastroparesis.>>Danielle had seen multiple physicians prior to seeing me. She has longstanding diabetes, although that’s well-controlled. But her gastroparesis
was not well-controlled. Gastroparesis is defined as
delayed stomach emptying. The stomach is supposed to empty by 90% over four hours. So if the stomach
empties slower than that, then that’s definition of gastroparesis. With these patients, first,
you wanna try medical therapy and diet modification. She already tried a gastroparesis diet, with basically, eating
low-fiber, low-residue, small, but more frequent meals, and she was placed on
medications that help move the stomach. Despite all of this, she continued to have
daily severe symptoms.>>Things were still
kind of getting worse. I had been researching on the internet, and I had heard about the GPOEM procedure, and I was so excited
to see that Dr. Khashab was doing it at Johns Hopkins, because it’s not far from me. And it just made sense to me.>>GPOEM stands for Gastric
Per-Oral Endoscopic Myotomy. So, gastric is the stomach, per-oral means we’re
going through the mouth using the scope and doing a myotomy, or cutting the muscle. The pylorus is basically a muscular ring that opens up to help the stomach empty. In these patients, this ring is tight, so if we cut it, that’s facilitates
emptying of the stomach, and that’s basically
what we do during GPOEM. Danielle had a successful procedure. She was admitted to the hospital overnight for observation, as it is
routine after these procedures. And the next day, she
started eating soft diet. And 10 days after that, we asked her to advance her diet, and she has been tolerating a
full normal diet since then.>>I don’t have the symptoms anymore. I don’t have the pain anymore. I actually am hungry, which is another thing,
which is weird to say, and my family will be
like, “What, you’re hungry? “You never say that.”>>I knew she was feeling better because she went and, we were
going up to an escalator, and she went and she
jumped on the escalator, and she hadn’t jumped
or done anything quickly for years.>>It’s just weird to
talk about gastroparesis as something that I had. I don’t have it anymore. It’s pretty cool to really look at things and not resent the food that’s around you, but to look at it and be thankful that you can eat it again. (gentle uplifting music)

4 thoughts on “G-POEM Procedure for Gastroparesis | Danielle’s Story

  1. Hi, I'm italian and i've gastroparesis, in italy gpoem does not available, i can do visit in your hospital?

  2. Does the pylorus ever grow back after the procedure or is it more of a permanent solution?

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