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POEM Surgery in EM Bypass, Kolkata | Achalasia Treatment - Manipal Hospitals

POEM

POEM Surgery in EM Bypass, Kolkata | Achalasia Treatment

Why is POEM done?

POEM is a key option for achalasia treatment in EM Bypass, Kolkata, especially for type III achalasia. It is also used for treating other oesophageal motility disorders that make swallowing difficult. This includes: 

  • Hypercontractible oesophagus (jackhammer oesophagus)

  • Oesophagogastric (EG) junction outflow obstruction

  • Distal oesophageal spasm (DES)

POEM is also considered if patients have undergone previously failed interventions like Heller's Myotomy (a common traditional surgery to treat achalasia). It is also preferred in patients with difficult anatomies, such as those who are obese. 

How should I prepare?

Preparing for POEM Surgery in EM Bypass, Kolkata, involves:

  • Fasting from solid foods or beverages post-midnight before the procedure

  • Refraining from medications like blood thinners or blockers

  • Letting our doctors know if you have any allergies

How is the POEM procedure performed? 

  • General anaesthesia is administered, and a flexible endoscope equipped with a light and camera is gently inserted through the mouth into the food pipe (oesophagus) and stomach.

  • A small incision is made in the inner lining of the oesophagus to create a submucosal tunnel that leads down to the lower oesophageal sphincter (LES). 

  • Using a specialised endoscopic knife, the inner circular muscle layer of the LES is carefully cut to relieve the abnormal tightness. 

  • This allows food and liquid to pass more easily from the oesophagus into the stomach. 

  • Once the procedure is complete, the endoscope is taken out and the entry incision is sealed, typically using endoscopic clips.

What Can I Expect After the Procedure? 

  • After the procedure, you will be shifted to the recovery room and will be observed overnight for any complications. 

  • Before discharge, an oesophageal X-ray will be done to confirm the effectiveness of the procedure and check for any complications. 

  • You will be instructed to go on a liquid diet for a week, followed by soft food and a regular diet later. 

  • Medications, as well as when to take them, are also thoroughly explained

  • Follow-up appointments will be scheduled by our team to monitor your treatment progress

Possible Risks

Some possible complications that can occur after POEM include:

  • Bleeding

  • Oesophageal tears

  • Acid reflux 

  • Gastro-oesophageal reflux disease (GERD), a severe form of acid reflux

The POEM Surgery in EM Bypass, Kolkata, combines state-of-the-art endoscopic tools with a multidisciplinary team to offer precise and compassionate care, helping patients regain swallowing function and improve quality of life.

Per-Oral Endoscopic Myotomy (POEM) is a minimally invasive endoscopic procedure usually performed to treat oesophageal achalasia. Patients with this condition have difficulty swallowing. This occurs when the lower oesophageal sphincter (LES) fails to relax, preventing food from passing from the oesophagus into the stomach. Achalasia can be a serious condition if left untreated.

At Manipal Hospitals, the expert gastroenterologists offer POEM Surgery in EM Bypass, Kolkata, using advanced endoscopic techniques to ensure safe, precise, and effective relief from oesophageal motility disorders.

FAQ's

Doctors use tests like barium swallow and upper endoscopy, as well as manometry, which is the gold standard for diagnosis. Manometry measures the timing and strength of oesophageal muscle contractions and LES relaxation. If abnormal peristalsis and LES dysfunction are seen, achalasia is confirmed. 

At Manipal Hospitals, we offer accurate diagnosis and achalasia treatment in EM Bypass, Kolkata, using advanced techniques.

Yes, POEM  is considered a safe and effective procedure when performed by experienced specialists. Like any treatment, there are some risks, but serious complications are rare. Our doctors at Manipal Hospitals, EM Bypass, will explain everything beforehand prior to and monitor your condition closely during and after the procedure.

Since POEM is a minimally invasive procedure, it offers several benefits, such as no chest or abdomen incisions, shorter hospital stays, minimal complications, and quick recovery, as well as a return to normal activities.

POEM is done under general anaesthesia, so you won’t feel pain during the procedure. Mild throat soreness or chest discomfort may occur afterwards, which can be managed with medications.

Patients can resume regular activities within a week after the procedure, depending on individual recovery. Heavy lifting or vigorous exercise should be avoided for a certain period. Other instructions include following your doctor’s advice, sticking to dietary guidelines and attending regular follow-ups.

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