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