Gastric Peroral Endoscopic Myotomy versus Botulinum Toxin injection for the treatment of refractory gastroparesis: results of a double-blind randomized controlled study.

G-POEM seems to have higher clinically relevant success rate than BTI, but not statistically demonstrated. Anyway, this study confirms the interest of treatments targeting the pylorus, either mechanically or chemically, for managing refractory gastroparesis.