Safety of Same-Day Discharge After Gastric Peroral Endoscopic Myotomy in Patients with Refractory Gastroparesis: An International Multi-Center Study.

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Tác giả: Hashem Albunni, Mohammad A Al-Haddad, Joseph Broucek, John M Dewitt, Tuba Esfandyari, Calvin X Geng, Zane Gouda, Lennon Gregor, Nwal Hadaki, Kristina Hugova, Joo Ha Hwang, Yervant Ichkhanian, Stephanie Joseph, Michael Lajin, Andrew Li, Jan Martinek, Payton Miller, Jacob R Moremen, Thomas V Nowak, Alexander Podboy, Akira Saito, Marita Salame, Alexander Schlachterman, Robert M Siwiec, Sarah A Stainko, Michael Ujiki, Andrew Y Wang, Ashley E Williams, John M Wo, Juliana Yang

Ngôn ngữ: eng

Ký hiệu phân loại: 336.294 Incidence

Thông tin xuất bản: United States : Gastrointestinal endoscopy , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 488230

BACKGROUND AND AIMS: The post operative management of gastric peroral endoscopic myotomy (G-POEM) lacks standardization. This study aimed to evaluate adverse events, readmission rates, and feasibility of same-day discharge (SDD) after G-POEM. METHODS: A multi-center retrospective review of prospectively collected G-POEM data was conducted. The primary outcome was the 15-day readmission rates in SDD and admitted patients. Secondary outcomes included readmission risk factors, clinical success, and adverse events (AEs). RESULTS: We found a 4.1% 15-day readmission rate in 482 patients (95% CI: 3.2%-5.4%). SDD clinical success rates at 6-12 months were 54.1% against 59.7% for the admitted group. The overall AE rate was 4.1%. SDD patients tended to have shorter procedure times, higher frequency of double myotomies, and endoscopic suturing for closure. CONCLUSIONS: G-POEM is safe with low incidence of AEs and 15-day readmission rates. SDD appears safe in uncomplicated cases, suggesting that upper gastrointestinal studies post-G-POEM may be unnecessary.
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