Appointment Helpline
POEM is a minimally invasive endoscopic procedure used to treat swallowing disorders, most commonly Achalasia. POEM, which stands for Peroral Endoscopic Myotomy, is a relatively new procedure that employs endoscopic technology. It is an in-patient procedure that can last between one and three hours. POEM treatment in Sarjapur Road is available at Manipal Hospitals, visit today.
Causes
Achalasia and other swallowing disorders are typically caused by the esophageal and lower esophageal sphincter muscles failing to relax, making it difficult to swallow and pass food into the stomach. Aside from swallowing problems, other symptoms may include heartburn, weight loss, and overall low quality of life.
Advantage
Endoscopes are thin, flexible tubes that can be inserted into the mouth or rectum. They enable doctors to examine and see the surfaces of the oesophagus (food pipe), stomach, intestine, and colon without making a large incision elsewhere on the body.
An advantage of having an endoscopic procedure, particularly for swallowing disorders, is that there will be no incisions in the abdomen or chest and a short or no hospital stay following the procedure.
Implementation
Your doctor will advise you to limit your diet to full liquids three days before the procedure and then clear liquids one day (24 hours) prior to the procedure. You will be given an antibiotic prescription to take before undergoing the POEM procedure. These medications will be given to you on the basis of the diagnosis of your body's attributes, needs, and limitations.
During the POEM procedure, the endoscopist inserts the flexible endoscope into the oesophagus while the patient is under general anaesthesia. A small incision is made in the esophagus's innermost layer (the mucosa). The endoscope is then tunnelled down the remaining length of the oesophagus in the submucosa layer. The endoscopist cuts the muscle fibres of the lower esophageal sphincter in the lower oesophagus. The endoscope is removed to finish the procedure, and the first incision in the mucosa is closed.
After procedure
You will be monitored in the hospital overnight following the POEM procedure. The following day, an esophagram (X-ray of the oesophagus) will be obtained. You will be asked to follow a liquid diet for approximately one week, then soft food, before progressing to a regular diet as tolerated. After the procedure, you will be given an acid-reducing medication to take for one month.
The procedure's medical outcomes will then be communicated to your referring physician. Because the oesophagus contains no pain fibres, the patient feels little to no pain, which may result in a faster period of recovery. Most patients experience complete relief from their swallowing difficulties and can resume normal activity in about a week. Book an appointment at Manipal Hospitals to know more about treatments with the help of best doctors in Bangalore.
