Feasibility of Same Day Discharge Post-Peroral Endoscopic Myotomy

Abstract

Peroral endoscopic myotomy (POEM) has emerged as a successful treatment for achalasia and other spastic disorders of the esophagus. With clinical experience, a same day discharge protocol has been developed. Readmission rates and postprocedural complications related to POEM procedures at a single institution were compared in patients discharged same day versus overnight observation. A total of 66 patients were discharged within hours after the procedure while 88 were admitted for monitoring overnight; no differences in readmissions or complications were identified. Same day discharge after POEM is relatively safe and has no difference in readmission or complication rates compared with overnight observations.

Keywords

POEM - achalasia - discharge - readmission - complication - monitoring

Disclosures

Dr. Abraham Mathew is a consultant for Boston Therapeutics. Dr. Kara DiJoseph, Dr. Carl Manzo, and Dr. Eric Pauli have no conflicts of interest or financial ties to disclose.

Publication History

Received: 03 August 2020

Accepted: 22 December 2020

Article published online:
11 February 2021

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