What is POEM Procedure?
Peroral endoscopic myotomy, commonly called the POEM procedure, is used to treat achalasia and swallowing disorders. Achalasia is a condition that affects the esophagus, making it difficult to swallow. POEM is an in-patient procedure that uses an endoscope to cut muscles in the esophagus, a myotomy, through the mouth. It takes one to three hours to complete and is less invasive than other alternatives, as no incision is made through the skin. This procedure is regarded as an advanced endoscopy for achalasia.
POEM for achalasia cardia is an effective option for patients who are willing to opt for minimally invasive treatment.
| Procedure Name | Peroral Endoscopic Myotomy (POEM) |
|---|---|
| Type of Surgery | Minimally invasive |
| Type of Anesthesia | General Anesthesia |
| Procedure Duration | 1-3 hours |
| Recovery Duration | Few days to few weeks |
Peroral Endoscopic Myotomy (POEM): Pre-Op & Post-Op Care
Preparation: Preparation involves a medical history evaluation, physical examination, imaging assessments, and discussion of procedure details. Prior to the procedure, patients are advised to adhere to a liquid diet for at least 48 hours to facilitate a smooth procedure in the esophagus and stomach.
During the procedure: During POEM, an endoscope is inserted through the mouth and guided into the esophagus. A small cut is made in the mucosa, and the endoscope is guided through the submucosa into the lower esophagus. Incisions are made in the lower esophagus and upper stomach muscles to relax and facilitate food passage.
After the procedure: After a procedure, one may typically stay in the hospital overnight, be prescribed pain medication, and return home the next day.
POEM surgery recovery: In some cases, it is a single-day procedure, whereas in a few cases, it requires one-day hospitalization. The patients who underwent achalasia surgery will be able to engage in daily activities within 1 to 2 weeks.
Post-procedure care: Initially, a strict liquid diet is used to heal the esophagus, gradually transitioning to a soft food diet. Schedule regular doctor appointments to track your progress and address any issues you may have.
Benefits of Peroral Endoscopic Myotomy (POEM) at Yashoda Hospitals
- Effective Repair: Our comprehensive evaluation and personalized treatment plans ensure effective treatment for achalasia and swallowing abnormalities.
- Experienced Surgical Team: With years of experience, our skilled gastro surgeons perform POEM procedures with precision and expertise.
- Efficient Care: We strive to provide timely diagnosis and prompt initiation of treatment strategies, ensuring efficient care and optimal outcomes.
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