Feasibility of Same Day Discharge Post-Peroral Endoscopic Myotomy

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.