Clinical Outcomes and Complications for Achalasia Patients Admitted After Per-Oral Endoscopic Myotomy

dc.contributor.authorDahiya, Dushyant Singh
dc.contributor.authorNivedita, Fnu
dc.contributor.authorPerisetti, Abhilash
dc.contributor.authorGoyal, Hemant
dc.contributor.authorInamdar, Sumant
dc.contributor.authorGangwani, Manesh Kumar
dc.contributor.authorAziz, Muhammad
dc.contributor.authorAli, Hassam
dc.contributor.authorCheng, Chin-I
dc.contributor.authorSanaka, Madhusudhan R.
dc.contributor.authorAl-Haddad, Mohammad
dc.contributor.authorSharma, Neil R.
dc.contributor.departmentMedicine, School of Medicine
dc.date.accessioned2024-01-24T10:00:26Z
dc.date.available2024-01-24T10:00:26Z
dc.date.issued2023
dc.description.abstractBackground: Per-oral endoscopic myotomy (POEM) is a rapidly emerging minimally invasive procedure for management of achalasia. Same-day discharge after POEM is safe and feasible; however, some patients may need hospitalization. We aimed to identify characteristics and outcomes for achalasia patients requiring hospitalizations after POEM in the United States (US). Methods: The US National Inpatient Sample was utilized to identify all adult achalasia patients who were admitted after POEM from 2016 to 2019. Hospitalization characteristics and clinical outcomes were highlighted. Results: From 2016 to 2019, we found that 1,885 achalasia patients were admitted after POEM. There was an increase in the total number of hospitalizations after POEM from 380 in 2016 to 490 in 2019. The mean age increased from 54.2 years in 2016 to 59.3 years in 2019. Most POEM-related hospitalizations were for the 65 - 79 age group (31.8%), females (50.4%), and Whites (68.4%). A majority (56.2%) of the study population had a Charlson Comorbidity Index of 0. The Northeast hospital region had the highest number of POEM-related hospitalizations. Most of these patients (88.3%) were eventually discharged home. There was no inpatient mortality. The mean length of stay decreased from 4 days in 2016 to 3.2 days in 2019, while the mean total healthcare charge increased from $52,057 in 2016 to $65,109 in 2019. Esophageal perforation was the most common complication seen in 1.3% of patients. Conclusion: The number of achalasia patients needing hospitalization after POEM increased. There was no inpatient mortality conferring an excellent safety profile of this procedure.
dc.eprint.versionFinal published version
dc.identifier.citationDahiya DS, Nivedita F, Perisetti A, et al. Clinical Outcomes and Complications for Achalasia Patients Admitted After Per-Oral Endoscopic Myotomy. Gastroenterology Res. 2023;16(3):141-148. doi:10.14740/gr1617
dc.identifier.urihttps://hdl.handle.net/1805/38142
dc.language.isoen_US
dc.publisherElmer Press
dc.relation.isversionof10.14740/gr1617
dc.relation.journalGastroenterology Research
dc.rightsAttribution-NonCommercial 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.sourcePMC
dc.subjectAchalasia
dc.subjectCosts
dc.subjectMortality
dc.subjectOutcomes
dc.subjectPer-oral endoscopic myotomy
dc.titleClinical Outcomes and Complications for Achalasia Patients Admitted After Per-Oral Endoscopic Myotomy
dc.typeArticle
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