POEM for Achalasia Cardia Treatment in Hyderabad

Peroral means going through the mouth, Endoscopic means when doctors are using the scope and Myotomy when they are cutting the muscles.

POEM (Peroral Endoscopic Myotomy) is a minimally invasive, endoscopic procedure designed to treat achalasia by cutting the muscles at the LES that prevent it from relaxing properly. This allows food to pass more easily into the stomach. POEM was first performed in 2008 and has since become a preferred alternative to traditional surgical methods, particularly for patients who do not respond well to other treatments.

The procedure involves the following steps:

• Endoscopic Access: A flexible endoscope is inserted through the patient’s mouth, down the esophagus, to the LES.
• Submucosal Tunnel Creation: A small incision is made in the mucosal layer of the esophagus, allowing the surgeon to create a tunnel underneath the lining, reaching the LES.
• Myotomy: The circular muscle fibers of the LES are cut, relieving the obstruction that causes symptoms.
• Closure: The incision in the mucosa is closed with endoscopic clips.

Achalasia cardia is a rare but serious disorder that affects the esophagus, the tube that connects the mouth to the stomach. It is characterized by difficulty in swallowing (dysphagia), chest pain, regurgitation of food, and weight loss due to the inability of the lower esophageal sphincter (LES) to relax properly. This leads to a buildup of food in the esophagus, causing discomfort and other complications. The traditional treatments for achalasia include pneumatic dilation, Heller’s myotomy (a surgical procedure), and medications. However, a newer, minimally invasive endoscopic procedure called POEM (Peroral Endoscopic Myotomy) has emerged as a highly effective treatment for achalasia. PACE Hospital is one of the leading centers offering POEM for achalasia cardia Treatment in Hyderabad, providing advanced care for this condition.

POEM is a breakthrough procedure for treating achalasia cardia, offering a minimally invasive, highly effective solution for patients suffering from this debilitating condition. PACE Hospital stands out as a leading center for POEM procedure in Hyderabad, India, combining expert care, cutting-edge technology, and a patient-focused approach to ensure the best possible outcomes. For individuals with achalasia, POEM at PACE Hospital provides hope for a significantly improved quality of life.

The results of POEM surgery are much better in patients with type 3 achalasia cardia because in these cases very long incision is required that is only possible with POEM operation.

The results of laparoscopic heller myotomy vs POEM procedure in Hyderabad is almost equivocal in patients with type 1 and type 2 achalasia cardia, but patients have advantages in endoscopic surgery such as length of hospital stay is minimum. Gastroenterologist can extend the length of myotomy in POEM procedure whereas in laparoscopic heller myotomy cannot extend the length of myotomy.

As per the recent studies, pneumatic balloon dilatation for type 2 achalasia lasts for less than 1 year in 60 to 70 % patients, and they have strong recurrence after one year. Pneumatic balloon dilation was previously a choice of the treatment, but now after the advent of POEM procedure (treatment for difficulty swallowing), it is the choice of treatment and golden standards in treatment of motility disorders.

PACE Hospitals is one of the best hospitals in Hyderabad with proven credentials in delivering excellent care for a wide range of tertiary healthcare services with personalized and ethical Next Gen Medicare. While its clinical outcomes are on par with international standards, PACE – through relentless research and innovation; successfully delivers advanced procedures at a fraction of the international costs.