{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T20:12:22Z","timestamp":1793045542810,"version":"4.5.0"},"reference-count":23,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2022,10,3]],"date-time":"2022-10-03T00:00:00Z","timestamp":1664755200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,3,30]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>There are limited data on the safety of same-day discharge (SDD) after peroral endoscopic myotomy (POEM). The aim of our study is to assess the frequency and relationship to POEM for emergency department (ED) visits and hospitalizations after SDD in these patients. We retrospectively identified consecutive patients between November 2019 and August 2021 who underwent POEM with SDD and at least 6\u00a0months follow-up. Criteria for SDD includes: (1) no serious procedure-related adverse event; (2) post-POEM esophagram without leak; (3) stable vital signs; (4) ability to take liquids orally; (5) pain controlled without IV analgesia; (6) adequate social support; (7) American Society of Anesthesiologists (ASA) class I\u2013III. A causative relationship between POEM and ED visits and hospitalizations was assigned by consensus. Out of 185 POEMs performed, 78 (41.7%, 42M, mean 51\u00b116 years) had SDD. Within 30 days of POEM, 8 ED visits occurred in 7\/78 (9%) patients and 2 (25%) were considered related to POEM; hospitalization was required in 3 (38%). After 30\u00a0days, 11 ED visits occurred in 10\/78 (12.8%) patients and 1 (9%) was considered related to POEM; hospitalization was required in 5 (45%). In this study of consecutive SDD patients after POEM, 3\/19 (16%) ED visits and 2\/8 (25%) hospitalizations within 6\u00a0months were considered related to the procedure. Therefore, eligible patients who follow and fulfill a strict protocol after POEM may be safely discharged the same day.<\/jats:p>","DOI":"10.1093\/dote\/doac068","type":"journal-article","created":{"date-parts":[[2022,10,3]],"date-time":"2022-10-03T13:28:58Z","timestamp":1664803738000},"source":"Crossref","is-referenced-by-count":19,"title":["Safety of same-day discharge after peroral endoscopic myotomy"],"prefix":"10.1093","volume":"36","author":[{"given":"Yara","family":"Sarkis","sequence":"first","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Indiana University Health Medical Center , Indianapolis, IN , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad A","family":"Al-Haddad","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Indiana University Health Medical Center , Indianapolis, IN , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Siwiec","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Indiana University Health Medical Center , Indianapolis, IN , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William R","family":"Kessler","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Indiana University Health Medical Center , Indianapolis, IN , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John M","family":"Wo","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Indiana University Health Medical Center , Indianapolis, IN , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Stainko","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Indiana University Health Medical Center , Indianapolis, IN , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Perkins","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Indiana University Health Medical Center , Indianapolis, IN , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3835-4464","authenticated-orcid":false,"given":"John M","family":"DeWitt","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Indiana University Health Medical Center , Indianapolis, IN , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,10,3]]},"reference":[{"key":"2023033018183844900_","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1055\/s-0029-1244080","article-title":"Peroral endoscopic myotomy (POEM) for esophageal achalasia","volume":"42","author":"Inoue","year":"2010","journal-title":"Endoscopy"},{"key":"2023033018183844900_","doi-asserted-by":"crossref","first-page":"3322","DOI":"10.1007\/s00464-013-2913-8","article-title":"The international per oral endoscopic myotomy survey (IPOEMS): a snapshot of the global POEM experience","volume":"27","author":"Stavropoulos","year":"2013","journal-title":"Surg Endosc"},{"key":"2023033018183844900_","doi-asserted-by":"crossref","first-page":"1531","DOI":"10.1016\/j.cgh.2017.01.031","article-title":"Efficacy and safety of peroral endoscopic myotomy for treatment of achalasia after failed Heller myotomy","volume":"15","author":"Ngamruengphong","year":"2017","journal-title":"Clin Gastroenterol Hepatol"},{"key":"2023033018183844900_","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1007\/s00464-015-4193-y","article-title":"A utility of peroral endoscopic myotomy (POEM) across the spectrum of esophageal motility disorders","volume":"30","author":"Hoppo","year":"2016","journal-title":"Surg Endosc"},{"key":"2023033018183844900_","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1177\/2050640615581732","article-title":"Systematic review and meta-analysis: efficacy and safety of POEM for achalasia","volume":"3","author":"Barbieri","year":"2015","journal-title":"United Eur Gastroenterol J"},{"key":"2023033018183844900_","doi-asserted-by":"crossref","first-page":"807","DOI":"10.1111\/dote.12387","article-title":"Peroral endoscopic myotomy for the treatment of esophageal achalasia: systematic review and pooled analysis","volume":"29","author":"Patel","year":"2016","journal-title":"Dis Esophagus"},{"key":"2023033018183844900_","doi-asserted-by":"crossref","first-page":"1267","DOI":"10.1038\/ajg.2017.139","article-title":"Comprehensive analysis of adverse events associated with per oral endoscopic myotomy in 1826 patients: an international multicenter study","volume":"112","author":"Haito-Chavez","year":"2017","journal-title":"Am J Gastroenterol"},{"key":"2023033018183844900_","doi-asserted-by":"crossref","first-page":"1046","DOI":"10.1016\/j.gie.2014.05.004","article-title":"Thoracic CT after peroral endoscopic myotomy for the treatment of achalasia","volume":"80","author":"Cai","year":"2014","journal-title":"Gastrointest Endosc"},{"key":"2023033018183844900_","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1016\/j.gie.2016.02.022","article-title":"Prospective evaluation of CT esophagram findings after peroral endoscopic myotomy","volume":"84","author":"Pannu","year":"2016","journal-title":"Gastrointest Endosc"},{"key":"2023033018183844900_","doi-asserted-by":"crossref","first-page":"2969","DOI":"10.1007\/s00464-015-4585-z","article-title":"Evaluation of the need for routine esophagram after peroral endoscopic myotomy (POEM)","volume":"30","author":"El Khoury","year":"2016","journal-title":"Surg Endosc"},{"key":"2023033018183844900_","doi-asserted-by":"crossref","first-page":"3956","DOI":"10.1007\/s00464-018-6137-9","article-title":"Endoscopy versus radiology in postprocedural monitoring after peroral endoscopic myotomy (POEM)","volume":"32","author":"Nast","year":"2018","journal-title":"Surg Endosc"},{"key":"2023033018183844900_","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/j.gie.2020.05.046","article-title":"Clinical impact of routine esophagram after peroral endoscopic myotomy","volume":"93","author":"Reddy","year":"2021","journal-title":"Gastrointest Endosc"},{"key":"2023033018183844900_","doi-asserted-by":"crossref","first-page":"E1692","DOI":"10.1055\/a-1546-8415","article-title":"Evaluation of timed barium esophagram after per-oral endoscopic myotomy to predict clinical response","volume":"9","author":"DeWitt","year":"2021","journal-title":"Endosc Int Open"},{"issue":"10","key":"2023033018183844900_","first-page":"53","article-title":"Peroral endoscopic myotomy: procedural complications and pain management for the perioperative clinician","volume":"23","author":"Misra","year":"2017","journal-title":"Med Devices (Auckl)"},{"key":"2023033018183844900_","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1007\/s00464-016-5034-3","article-title":"Reduced postoperative pain scores and narcotic use favor per-oral endoscopic myotomy over laparoscopic Heller myotomy","volume":"31","author":"Docimo","year":"2017","journal-title":"Surg Endosc"},{"key":"2023033018183844900_","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1016\/j.gie.2019.04.247","article-title":"Safety and feasibility of performing peroral endoscopic myotomy as an outpatient procedure with same-day discharge","volume":"90","author":"Benias","year":"2019","journal-title":"Gastrointest Endosc"},{"key":"2023033018183844900_","doi-asserted-by":"crossref","first-page":"3398","DOI":"10.1007\/s00464-020-07781-4","article-title":"Same-day discharge is safe and feasible following POEM surgery for esophageal motility disorders","volume":"35","author":"Cloutier","year":"2021","journal-title":"Surg Endosc"},{"key":"2023033018183844900_","doi-asserted-by":"crossref","first-page":"3971","DOI":"10.1007\/s00464-020-07866-0","article-title":"Factors associated with admission after implementation of a same-day discharge pathway in patients undergoing peroral endoscopic myotomy (POEM)","volume":"35","author":"Attaar","year":"2021","journal-title":"Surg Endosc"},{"key":"2023033018183844900_","doi-asserted-by":"crossref","first-page":"E1381","DOI":"10.1055\/a-1490-9385","article-title":"Rethinking the need for overnight admission after peroral endoscopic myotomy (POEM): a pandemic-driven approach to the future","volume":"9","author":"Zhang","year":"2021","journal-title":"Endosc Int Open"},{"key":"2023033018183844900_","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1016\/j.gie.2021.12.029","article-title":"Comparison of functional lumen imaging probe and high-resolution manometry to assess response after peroral endoscopic myotomy","volume":"95","author":"DeWitt","year":"2022","journal-title":"Gastrointest Endosc"},{"key":"2023033018183844900_","doi-asserted-by":"crossref","first-page":"708","DOI":"10.1016\/j.gie.2016.08.033","article-title":"Early adverse events of per-oral endoscopic myotomy","volume":"85","author":"Werner","year":"2017","journal-title":"Gastrointest Endosc"},{"key":"2023033018183844900_","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1001\/jama.2019.8859","article-title":"Effect of peroral endoscopic myotomy vs pneumatic dilation on symptom severity and treatment outcomes among treatment-naive patients with achalasia: a randomized clinical trial","volume":"322","author":"Ponds","year":"2019","journal-title":"JAMA"},{"key":"2023033018183844900_","doi-asserted-by":"crossref","first-page":"2219","DOI":"10.1056\/NEJMoa1905380","article-title":"Endoscopic or surgical myotomy in patients with idiopathic achalasia","volume":"381","author":"Werner","year":"2019","journal-title":"N Engl J Med"}],"container-title":["Diseases of the Esophagus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/dote\/article-pdf\/36\/4\/doac068\/49695432\/doac068.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/dote\/article-pdf\/36\/4\/doac068\/49695432\/doac068.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,28]],"date-time":"2023-11-28T10:29:12Z","timestamp":1701167352000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/dote\/article\/doi\/10.1093\/dote\/doac068\/6747074"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,3]]},"references-count":23,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2022,10,3]]},"published-print":{"date-parts":[[2023,3,30]]}},"URL":"https:\/\/doi.org\/10.1093\/dote\/doac068","relation":{},"ISSN":["1120-8694","1442-2050"],"issn-type":[{"value":"1120-8694","type":"print"},{"value":"1442-2050","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,4]]},"published":{"date-parts":[[2022,10,3]]},"article-number":"doac068"}}