Does pyloric manometry help guide your choice of G-POEM vs gastric electrical stimulation in the treatment of gastroparesis?

Data indicates that diabetics with predominant vomiting are more likely to respond to both pharmacologic and non-pharmacologic interventions. In contrast, patients experiencing predominant pain tend to show poor responses to all forms of treatment. Studies have shown that pyloric distensibility and ...

Yes, it does.

You can use antroduodenal manometry to measure pyloric pressure. If high, the patient is a good candidate for G-POEM.

If antroduodenal manometry shows low-amplitude contractions, be cautious with G-POEM.

Nowadays, we often use EndoFLIP on the pylorus.