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GASTROENTEROLOGY & GI SURGERY Procedure

Peroral Endoscopic Myotomy (POEM) for Achalasia

Incisionless endoscopic tunnel creation dividing lower esophageal sphincter muscle curing achalasia.

POEM — peroral endoscopic myotomy
POEM — peroral endoscopic myotomy

Clinical Overview & Disease Information

Incisionless endoscopic tunnel creation dividing lower esophageal sphincter muscle curing achalasia.

Signs & Symptoms

Early Symptoms
  • Early GI symptoms
  • Mild Severe dysphagia, food sticking in chest, regurgitation
Common Symptoms
  • Persistent Severe dysphagia, food sticking in chest, regurgitation
  • Digestive dysfunction or abdominal pain
  • Altered bowel habits
Emergency Symptoms
  • Hematemesis or massive GI hemorrhage
  • Acute peritonitis or cholangitis

Causes & Risk Factors

Primary Causes & Etiology

  • Achalasia Cardia (Type I, II, III)
  • GI tract inflammation or neoplasm
  • Biliary or pancreatic pathology

Who is at Higher Risk?

  • Patients diagnosed with Achalasia Cardia (Type I, II, III)
  • Patients requiring specialized GI care

Diagnostic Evaluation & Testing

Diagnostic Test Clinical Purpose / What It Shows
Endoscopy / CT MRCP Assessment for POEM — peroral endoscopic myotomy High-resolution anatomical imaging and functional evaluation

Comprehensive Treatment Options

Minimally Invasive: Laparoscopic / Endoscopic Procedure for POEM — peroral endoscopic myotomy

Board-certified GI specialist executed procedure.

Key Advantages:
Incisionless or keyhole precision
Fast recovery of bowel function
High clinical success

Multidisciplinary GI Surgical Care for POEM — peroral endoscopic myotomy

Comprehensive surgical or interventional protocol.

Recommended For:
Complex GI pathology
Advanced GI malignancies

Advanced Medical Technologies Available in Partner Hospitals

da Vinci Xi GI Robot SpyGlass Cholangioscopy POEM Endoscopy

Possible Complications If Untreated

Transient ileus
Minor post-op bleeding
Transient liver enzyme elevation

Recovery Timeline, Diet & Lifestyle Care

Recovery Timeline

Procedure / Stage Expected Recovery Duration
Post-Op Recovery 24 to 48 hours
Liquid to Soft Diet 3 to 5 days
Full Functional Recovery 2 to 3 weeks

Recommended Post-Treatment Diet

  • Gradual progression to high protein soft diet
  • Hydration 2.5L/day

Essential Lifestyle Changes

  • Early ambulation
  • Avoid heavy lifting > 5kg for 4 weeks
When to Contact a Doctor Urgently:
Fever > 100.4°F
Severe abdominal pain
Vomiting blood

Prevention & Long-Term Health

Regular screening colonoscopy starting at age 45
Hepatitis B vaccination

Frequently Asked Questions

What is the recovery time for POEM — peroral endoscopic myotomy?

Most minimally invasive GI procedures allow hospital discharge in 1-3 days with full recovery in 2-3 weeks under experienced surgical gastroenterologists.

Top Recommended Specialists Available

Dr. Mayank Madan

Dr. Mayank Madan

Chief - Robotic, Bariatric, Minimal Access & General Surgery

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Dr. Paritosh S Gupta

Dr. Paritosh S Gupta

Chairperson – General, Minimal Access, Bariatric & Robotic Surgery

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Dr. M.A Mir

Dr. M.A Mir

Head - Gastroenterology - Liver & Digestive Diseases (Unit III)

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Dr. Rajesh Kumar Padhan

Dr. Rajesh Kumar Padhan

Chief – Academic and Training, Gastroenterology and Hepatology

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Dr. Rakesh Durkhure

Dr. Rakesh Durkhure

Head - General, MI & Bariatric Surgery (Unit IV)

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Dr. Sanjeev Srivastava

Dr. Sanjeev Srivastava

Sr. Consultant - General & Minimal Access Surgery

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Dr. Shabana Parveen

Dr. Shabana Parveen

Head - Clinical Nutrition & Dietetics

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Dr. Tapan Singh Chauhan

Dr. Tapan Singh Chauhan

Sr. Consultant - Surgical Oncology, Robotics, GI & HPB, Gynae & Peritoneal Surface Oncology

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Dr. G. Arya Prakash

Dr. G. Arya Prakash

Head - Anesthesia for Liver Transplant & Critical Care

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Dr. Giriraj Bora

Dr. Giriraj Bora

Chairperson - Liver Transplant & Sr. Consultant - GI & HPB Surgery

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Dr. Nandini Vasdev

Dr. Nandini Vasdev

Head Lab Medicine - Head Histopathology & Cytology

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Dr. Paritosh S Gupta

Dr. Paritosh S Gupta

Chairperson - General, Minimal Access, Bariatric & Robotic Surgery

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Dr. Pawan Rawal

Dr. Pawan Rawal

Unit Head - Gastroenterology & Hepatology

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Dr. Sakshi Karkra

Dr. Sakshi Karkra

Head - Pediatric Gastroenterology & Hepatology

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Dr. Shyam Sunder Mahansaria

Dr. Shyam Sunder Mahansaria

Head - Liver Transplant & Sr. Consultant - GI & HPB Surgery

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Dr. Hitender Singh Chauhan

Dr. Hitender Singh Chauhan

Associate Consultant - General, Minimal Access & Bariatric Surgery

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Dr. Manjul Bawa

Dr. Manjul Bawa

Consultant – Robotic, Bariatric, Laparoscopic & Laser Surgery

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Dr. Mahendra Kumar

Dr. Mahendra Kumar

Consultant – Liver Transplant & HPB Surgery

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Dr. Atul Sharma

Dr. Atul Sharma

Chief – Motility and Third Space Endoscopy

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Dr. Kapil Dev Jamwal

Dr. Kapil Dev Jamwal

Chief – Innovation & GI Interventions and Head – Gastroenterology & Hepatology

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Global Cost Comparison Matrix

Procedure USA (Avg) India (ISG) Turkey (Avg) Thailand (Avg)
POEM — peroral endoscopic myotomy $35,000 $3,600 $8,500 $9,500

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Commonly Prescribed Medications

  • Proton Pump Inhibitors
  • Analgesics
  • Oral Antibiotics

International Patient Guide

Estimated Stay in India:
GI Diagnostic Evaluation 1 - 2 days
GI Surgery / Procedure & Hospital Stay 3 - 7 days
Post-Op Check & Return Flight 10 - 14 days total stay
Documents to Bring:
  • Passport & Visa
  • Endoscopy & CT/MRI Scan CDs