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

IF 6.7 1区医学 Q1 GASTROENTEROLOGY & HEPATOLOGY

Gastrointestinal endoscopy Pub Date : 2025-02-19 DOI:10.1016/j.gie.2025.02.020

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

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引用次数: 0

Abstract

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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来源期刊

Gastrointestinal endoscopy 医学-胃肠肝病学

CiteScore

10.30

自引率

7.80%

发文量

1441

审稿时长

38 days

期刊介绍： Gastrointestinal Endoscopy is a journal publishing original, peer-reviewed articles on endoscopic procedures for studying, diagnosing, and treating digestive diseases. It covers outcomes research, prospective studies, and controlled trials of new endoscopic instruments and treatment methods. The online features include full-text articles, video and audio clips, and MEDLINE links. The journal serves as an international forum for the latest developments in the specialty, offering challenging reports from authorities worldwide. It also publishes abstracts of significant articles from other clinical publications, accompanied by expert commentaries.