Peroral endoscopic myotomy (POEM), offered at GastroExperts, is a groundbreaking endoscopic procedure designed to treat achalasia, a condition that affects swallowing. Achalasia is characterized by a malfunctioning lower esophageal sphincter (LES), the muscular valve at the end of the esophagus that prevents food from flowing back into the esophagus. In achalasia, the LES fails to relax properly, causing difficulty swallowing and various uncomfortable symptoms.
A highly skilled gastroenterologist inserts a thin, flexible endoscope equipped with a camera and surgical instruments through the mouth and into the esophagus.
Using specialized instruments, the endoscope creates a precise tunnel just beneath the mucosal layer, within the submucosal space, along the length of the lower esophagus.
The initial incision in the mucosal layer is then closed with small clips.
A small incision is made in the innermost lining (mucosa) of the esophagus.
Once the tunnel is created, the surgeon cuts the muscle fibers of the LES through the endoscope, weakening the sphincter and allowing it to relax more easily.
POEM offers a less invasive alternative to traditional surgery for treating achalasia. There are no external incisions, reducing scarring and discomfort.
Successful POEM can significantly improve swallowing ability and alleviate symptoms like chest pain, regurgitation, and difficulty eating.
Compared to surgery, POEM offers a faster recovery time with minimal discomfort.
Studies suggest that POEM has a high success rate and long-lasting results.
POEM is generally considered the preferred treatment option for most patients with achalasia. However, after a comprehensive evaluation, your gastroenterologist will determine your suitability for the procedure. Factors like your overall health, severity of symptoms, and response to other therapies will be considered.
POEM is typically performed under general anesthesia. You won't feel any pain during the procedure.
You will be monitored for a short period after the procedure and might require an overnight stay for observation. You'll likely experience some throat soreness and mild discomfort, which can be managed with medication.
POEM is generally safe, but there's a small risk of complications like bleeding, infection, or perforation (a tear in the esophageal wall). Your gastroenterologist will discuss these risks in detail before the procedure.
Most patients recover from POEM within a week and can resume normal activities relatively soon. You will likely be advised to start with a soft diet initially and gradually progress to regular foods as tolerated.
Our team of highly skilled and experienced gastroenterologists at GastroExperts are well-versed in performing POEM. We utilize advanced endoscopic techniques and prioritize patient safety throughout the process. If you experience difficulty swallowing and have been diagnosed with achalasia, contact GastroExperts to schedule a consultation with one of our gastroenterologists to discuss if POEM is the right treatment.
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