POEM for achalasia
Also called Peroral endoscopic myotomy, Third-space endoscopy
POEM (peroral endoscopic myotomy) treats achalasia, a condition in which the lower food pipe muscle does not relax. Working through the mouth, the endoscopist tunnels within the oesophageal wall and divides the tight muscle, with no cuts on the chest or abdomen. It is a form of third-space endoscopy.
At a glance
- Anaesthesia
- General anaesthesia
- Stay
- Usually a short hospital stay
What it involves
POEM is an alternative to surgical (Heller) myotomy and to repeated balloon dilatation. Suitability depends on tests such as manometry and endoscopy.
Your consultation and follow-up are at the clinic. This procedure needs specialised equipment, so the clinic will tell you where it is scheduled when you book.
When it is recommended
- Achalasia
- Other oesophageal spasm disorders, after assessment
Questions patients ask
Is POEM better than surgery for achalasia?
Both work well. The right choice depends on your type of achalasia, previous treatments and reflux risk. Dr. Mannava will discuss the options after your tests.
Related care
- AchalasiaA swallowing disorder in which the lower food pipe muscle does not relax.
- Endoscopic dilatationWidening of narrowed areas in the food pipe or bowel to relieve swallowing problems and blockage.
- Upper GI endoscopyA camera look at the food pipe, stomach and duodenum, with biopsy or treatment in the same sitting.
Ask about POEM for achalasia
Book a consultation to find out whether this procedure is right for you.