The Impact of Early Nutrition Following Peroral Endoscopic Myotomy in Achalasia: A Tertiary Center Experience

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dc.contributor.authorBuyruk, Abdullah Murat
dc.contributor.authorErdogan, Cagdas
dc.contributor.authorTekin, Fatih
dc.date.accessioned2024-08-31T07:50:01Z
dc.date.available2024-08-31T07:50:01Z
dc.date.issued2024
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground/Aims: This retrospective single-center study aimed to assess the safety of early feeding in patients who met certain criteria following peroral endoscopic myotomy (POEM). Materials and Methods: Data from 100 patients who underwent POEM at our center between January and December 2022 were collected. Early feeding was defined as the introduction of clear liquid foods at 4 hours post procedure. At 4 and 24 hours, the pain was rated using the visual analog scale (VAS) in all patients. Patients without intraoperative complications (pneumoperitoneum requiring needle drainage, severe arterial bleeding requiring the use of hemostatic forceps, severe mucosal injury) and severe pain (VAS score > 6) and nausea-vomiting at the fourth postoperative hour were given the early feeding approach. In patients who did not meet these requirements, enteral feeding was initiated after 24 hours (late feeding). Results: Among the 100 patients, 50 patients were categorized early feeding. No patients had a control esophagogram. In the early and late enteral feeding groups, VAS scores were 4 (0-6) and 6 (1-8) (P < .001) at 4 hours and 1 (0-3) and 1 (0-6) (P = .043) at 24 hours, respectively. No severe complications were developed after early feeding. The median hospital stay in the early feeding group was 1 (1-3) day. There was no emergency readmission in any of early feeding patients. Conclusion: Our study showed early feeding following POEM can be begun in achalasia patients who do not have intraoperative complications, severe pain, or nausea/vomitingen_US
dc.identifier.doi10.5152/tjg.2024.24053
dc.identifier.issn2148-5607
dc.identifier.issue3en_US
dc.identifier.pmid39128099en_US
dc.identifier.scopus2-s2.0-85187925844en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.urihttps://doi.org/10.5152/tjg.2024.24053
dc.identifier.urihttps://hdl.handle.net/11454/105086
dc.identifier.volume35en_US
dc.identifier.wosWOS:001186228200007en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAvesen_US
dc.relation.ispartofTurkish Journal of Gastroenterologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240831_Uen_US
dc.subjectPeroral Endoscopic Myotomyen_US
dc.subjectAchalasiaen_US
dc.subjectEnteral Feedingen_US
dc.titleThe Impact of Early Nutrition Following Peroral Endoscopic Myotomy in Achalasia: A Tertiary Center Experienceen_US
dc.typeArticleen_US

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