# Gastric Peroral Endoscopic Tunneled Stricturotomy for Post‐Sleeve Gastrectomy Stenosis: Case Series and Literature Review

**Authors:** Shiv R. Patel, Christopher J. Farid, Thomas Shin, Alexander J. Podboy

PMC · DOI: 10.1002/deo2.70290 · 2026-02-14

## TL;DR

A new endoscopic procedure called G-POETS is shown to successfully treat post-sleeve gastrectomy stenosis in most patients, with no reported adverse events.

## Contribution

This is the first literature review and case series demonstrating the effectiveness of G-POETS for treating post-sleeve gastrectomy stenosis.

## Key findings

- Clinical success was observed in five out of six patients treated with G-POETS.
- No adverse events were reported in the patients undergoing the procedure.

## Abstract

Gastric peroral endoscopic tunneled stricturotomy (G‐POETS) has emerged as a novel procedure to treat post‐sleeve gastrectomy stenosis. We present a case series highlighting the use of G‐POETS to treat sleeve stenosis. Clinical success was assessed using the Dakkak‐Bennett Dysphagia Score and the Gastroparesis Cardinal Symptom Index. Clinical success was observed in five out of six patients. No adverse events occurred due to G‐POETS. The first literature review on the use of G‐POETS for sleeve stenosis was performed.

## Full-text entities

- **Diseases:** Dysphagia (MESH:D003680), Gastroparesis Cardinal Symptom (MESH:D018589), Stenosis (MESH:D003251)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12906293/full.md

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Source: https://tomesphere.com/paper/PMC12906293