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Thoracic Applications Per Oral Plication of the Esophagus (POPE)

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The SAGES Manual Operating Through the Endoscope

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Abstract

Per oral plication of esophagus (POPE) is a novel endoscopic intervention to address redundancy in megaesophagus or dilated neoesophageal conduit. It is indicated when contrast imaging shows ‘sump’ formation, areas where tortuosity or saccular dilation allows contrast to pool, rather than flow through the organ with gravity. Other causes for delayed emptying such as pseudoachalaisa or incompetent pylorus must also be ruled out. Traditionally this problem requires esophagectomy or surgical revision of the neoesophageal conduit. The following chapter details the pathogenesis of indications for POPE, describes how the procedure is performed and reviews specific technical considerations.

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Abbreviations

DGE:

delayed gastric emptying

EGJ:

esophagogastric junction

ESG:

endoscopic sleeve gastroplasty

GES:

gastric emptying scintigraphy

GI:

gastrointestinal

LES:

lower esophageal sphincter

POEM:

per oral endoscopic myotomy

POP:

per oral pyloromyotomy

POPE:

per oral plication of the esophagus

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Authors and Affiliations

  1. NorthShore University HealthSystem, Evanston, IL, USA

    Michael B. Ujiki & H. Mason Hedberg

Authors
  1. Michael B. Ujiki
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  2. H. Mason Hedberg
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Corresponding author

Correspondence to H. Mason Hedberg .

Editor information

Editors and Affiliations

  1. Digestive Disease Inst, A100, Cleveland Clinic, Cleveland, OH, USA

    Matthew Kroh

  2. Department of Surgery, University of South Florida, Tampa, FL, USA

    Salvatore Docimo Jr.

  3. BariJuve Surgical, Hoffman Estates, IL, USA

    Sofiane El Djouzi

  4. Department of Surgery, University of Wisconsin Health, Madison, WI, USA

    Amber Shada

  5. Center for Advanced Surgery, The Oregon Clinic, Portland, OR, USA

    Kevin M. Reavis

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Ujiki, M.B., Hedberg, H.M. (2023). Thoracic Applications Per Oral Plication of the Esophagus (POPE). In: Kroh, M., Docimo Jr., S., El Djouzi, S., Shada, A., Reavis, K.M. (eds) The SAGES Manual Operating Through the Endoscope. Springer, Cham. https://doi.org/10.1007/978-3-031-21044-0_28

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  • DOI: https://doi.org/10.1007/978-3-031-21044-0_28

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-21043-3

  • Online ISBN: 978-3-031-21044-0

  • eBook Packages: MedicineMedicine (R0)

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