The Impact of Gastroparesis on Antireflux Surgery

Abstract

Foregut surgeons will encounter gastroparesis in patients with gastroesophageal reflux disease and prior gastresophageal operations. Clues in the history and diagnostic studies at first consultation will inform surgical decision making. Stepwise progression through multiple treatments may be required for patients to achieve symptom relief from post-surgical gastroparesis. Endoscopic pyloromyotomy and robotic-assisted pyloroplasty are safe, effective and definitive procedures for post-surgical gastroparesis.