Major adverse events related to endoscopic or laparoscopic procedures in achalasia. A systematic review and meta-analysis

Niño-Ramírez, S.; Ardila, Óscar; Rodríguez, F.H.; Londoño, José Pablo Vélez; Perez, Sebastian D.; Sánchez, S.; Camargo, Joselyn; Guevara-Casallas, L.G.

doi:10.1016/j.rgmxen.2021.11.012

Cited by 1 publication

(1 citation statement)

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“…Furthermore, clinical success rates of POEM at 12, 24 and 36 months have been estimated to be 92.9%, 90.6% and 88.4% respectively [ 14 ]. From an adverse event perspective, a study by Nino-Ramirez et al compared POEM to conventional treatments of achalasia such as laparoscopic Heller’s myotomy (LHM) and endoscopic balloon dilation (EBD) [ 15 ]. The authors reported that the proportion of adverse events was 3.6% for POEM, 4.9% for LHM, and 3.1% for EBD [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2023

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Background 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.

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Section: Introductionmentioning

confidence: 99%