The per-oral endoscopic myotomy, or POEM, is a minimally invasive surgical procedure for the treatment of achalasia wherein the inner circular muscle layer of the lower esophageal sphincter is divided through a submucosal tunnel. This enables food and liquids to pass into the stomach, a process that is impaired in achalasia. The tunnel is created, and the myotomy performed, using a flexible endoscope, meaning the entire procedure can be done without external incisions.
The benefit of this method of treatment is that there has to be no involvement or cut on the chest which minimizes the complications to a great extent. Before the procedure begins, the patient will be given anesthesia.
Recovery
You will usually stay in the hospital overnight to make sure there are no complications. You may not eat anything post surgery.
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Dr. Kapil Sharma
MBBS, MD, DM Gastroenterology
Director and Head Gastroenterology Batra Hospital and Medical research centre, New Delhi.
He had more than 15 years of experience in field of Gastroenterology and Hepatology.
As a committed doctor, he had undergone advance endoscopic training in endoscopic ultrasound and third space endoscopy. Now he is amongst few Gastroenterologist across the country who do interventional endoscopic ultrasound and per oral endoscopic myotomy.