Doctor for Achalasia Treatment Explains POEM

POEM or Peroral endoscopic myotomy (POEM) is an endoscopic therapy for achalasia. 

According to a doctor for achalasia treatment in Kolkata, the procedure involves using an upper endoscopy rather than conventional surgery, which involves making an incision in the skin.

Patients who suffer from achalasia, has a tight lower esophageal sphincter. The goal of this treatment of achalasia is to weaken the lower esophageal sphincter.

 

 

What Do You Need to Do Before POEM?

Your doctor will recommend you to follow a liquid diet for three days before the procedure, followed by clear liquids 24 hours before the procedure. You will be given an antibiotic prescription to take before the POEM procedure.

POEM Procedure

This achalasia cardia treatment in Kolkata involves the following steps –

• An IV will be inserted in your vein to administer fluids, anesthetic, and antibiotics.

• Once you are sedated, your doctor will insert the endoscope via the mouth and into the esophagus to view the images of the interior of the esophagus on a monitor.

• Through the endoscope, the doctor will enter devices to create a small cut in the lining of the lower esophagus. The opening is injected with a liquid solution, and the endoscope is guided through to separate the lining from the muscle.

• The doctor will then perform a myotomy (muscle cutting) along the constructed tunnel. The muscle is cut in the lower esophagus, the sphincter between the esophagus and the stomach, and in the upper part of the stomach.

• The doctor will close the incision in the esophagus lining with small clips using the endoscope.

What Happens After POEM?

You will be kept under observation in the hospital overnight following the POEM procedure. An esophagram (X-ray of the esophagus) will be conducted the following day.

Your doctor for achalasia cardia treatment in Kolkata will recommend you to follow a liquid diet for approximately one week, followed by soft food, before progressing to a regular diet.

After the procedure, you will be prescribed an acid-reducing medication for one month.