ArticleDigestive diseases and sciences2025
Impact of Interstitial Cells of Cajal Density and Other Factors on Clinical Outcomes Following G-POEM in Gastroparesis Patients.
Article in Digestive diseases and sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Mastering the third space: Innovations in intramural endoscopic surgery for gastrointestinal disorders.World journal of gastrointestinal endoscopy · 2025Review
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15 authors.
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Abstract
backgroundGastroparesis remains an elusive disorder with debilitating symptoms. There has been some progress in treatment options, such as gastric per oral endoscopic pyloromyotomy (G-POEM). It is unknown whether the number of gastric interstitial cells of Cajal (ICC) is related to the outcome of G-POEM.
methodsAll patients who underwent G-POEM and had gastric muscle biopsy at G-POEM were enrolled. A direct biopsy of the exposed antral smooth muscles was performed during G-POEM to quantify the ICC. The relationship between the outcome of G-POEM and the number of ICC was analyzed.
resultsEighty-four patients were included in this study. The average age was 48.5 years; 77.6% were females, 47.6% of the patients had diabetic gastroparesis, 16.7% had post-surgical gastroparesis, and 35.7% had idiopathic gastroparesis. All the patients had failed other therapy. 82.9% of the patients had no intra or immediate postoperative complications, and the average procedure time was 29 min. 70% of the patients were discharged the same day. The average hospital stay for the rest was 2.6 days. The average time to follow-up was 5 months. 100% of patients had technical success, and 57.4% of patients had clinical success. The average number of ICC/4 mm
conclusionThe association between the number of ICC and the clinical outcomes of G-POEM is not observed in this study. To our knowledge, this is the first such report. Further research on the pathogenesis of gastroparesis is needed.
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