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Causes of gastroparesis include diabetes, medications, neurological disorders, and prior upper abdominal surgeries that might affect gastric emptying; many cases are idiopathic. Invasive approaches, including gastric pacing and surgical intervention, are options for treating severely symptomatic patients who don't respond to motility drugs and dietary measures. In this retrospective case series, surgeons at Emory University present 50 patients who underwent laparoscopic pyloroplasty for gastroparesis. In this procedure, the surgeon widens the pyloric outlet by making a longitudinal incision through the pylorus and closing the incision transversely.
Most patients (82%) reported improved symptoms at 1 month after surgery. Median half-life for …