It is reported the literature article titled "safety and feasibility of performing peroral endoscopic myotomy as an outpatient procedure with same-day discharge", one patient experienced a moderate adverse event requiring hospitalization and surgical intervention.This is a single center retrospective study of 103 consecutive outpatient peroral endoscopic myotomy (poem) procedures performed from january 2015 to december 2018 by one of two physicians using an evis exera iii gastrointestinal videoscope fitted with a transparent cap.The aim of the study is to describe an algorithm and safety feasibility for same-day discharge following poem procedure.It is reported there were no serious adverse events (ae) or fatalities in this cohort of patients.There were 11(10.7%) with mild to moderate aes reported.This report describes the one patient who was re-admitted for post-procedural chest pain, low-grade fever, and persistently increased white blood cell (wbc) count who underwent an esophagram showing a dehiscence with leak at the mucosal entry site.This patient required a second look endoscopic procedure and endoscopic clipping of the dehiscence.There is no report of any olympus device malfunction in any of the reported procedures.
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