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Question of the Week | G-POEM for Gastroparesis?

JR lives with type 1 diabetes and severe gastroparesis, despite maintaining an A1C of less than 7% for the past few years.  The endocrinologist referred JR to a GI specialist, who recommended a surgical procedure called a Gastric Peroral Endoscopic Myotomy, G-POEM, to address JR’s longstanding gastroparesis.

JR asks what you think about this intervention.  What is the best response?

  1. It sounds like you are worried about the effectiveness and risks of this procedure. Is that right?
  2. Tell me more about what your GI doctor told you about this procedure.
  3. I know you are frustrated, but the primary treatment for gastroparesis is low fiber meals.
  4. Usually, gastroparesis improves as your A1C reaches target so I would wait and see if things improve.

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  • From the Mouth to Intestines: Periodontal disease, Gastroparesis, Fatty liver disease, pancreas disorders
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