POEM for achalasia
Achalasia is a disease of esophagus in which patients have difficulty swallowing foods. This results from “tightness” of the muscle at the lower end of the esophagus. Such patients often underwent surgery with partial opening of the chest and abdomen to cut the affected muscle. Recently, at Midas this treatment is performed via a procedure called “per oral endoscopic myotomy (POEM)” which is a painless, scarless endoscopic procedure. The procedure involves inserting the endoscope in the inner layer of the esophagus to cut the muscle, followed by closing the entry with simple clips. The procedure is safe and the patient is sedated during the procedure and does not experience any discomfort. Patients typically stay for 1-2 night in hospital. The results from this procedure are comparable to surgery but with less discomfort, reduced duration of stay in the hospital and possibly lower complication rates.