POEM (Peroral Endoscopic Myotomy)

Advanced Endoscopic Treatment for Achalasia

POEM (Peroral Endoscopic Myotomy) is a minimally invasive endoscopic procedure used primarily for the treatment of achalasia, a condition in which the lower oesophageal sphincter does not relax normally and the oesophagus has difficulty moving food into the stomach.

Dr. Venkatesh Reddy Raya has expertise in advanced therapeutic endoscopy, including POEM, as part of his specialised endoscopic practice.

Understanding Achalasia

Achalasia is a disorder affecting the normal movement of food through the oesophagus. Patients may experience symptoms such as:

• Difficulty swallowing food or liquids
• Regurgitation
• Chest discomfort
• Food coming back into the mouth
• Unintentional weight loss in some cases

Symptoms can vary between individuals, and proper evaluation is important before selecting treatment.

How Does POEM Work?

POEM is performed using an endoscope introduced through the mouth. The endoscope is used to create a controlled tunnel within the wall of the oesophagus. The muscle fibres contributing to the obstruction are then carefully divided.

By relaxing the problematic muscle, POEM can help improve the passage of food from the oesophagus into the stomach.

Because the procedure is performed endoscopically, there is no conventional external surgical incision.

Who May Benefit from POEM?

POEM may be considered for selected patients diagnosed with achalasia or certain related oesophageal motility disorders.

The decision depends on several factors, including:

• Type and severity of achalasia
• Symptoms
• Oesophageal function
• Previous treatments
• Overall health
• Findings from relevant investigations

A detailed gastroenterology evaluation is important before proceeding with treatment.

Advanced Therapeutic Endoscopy

POEM is a technically specialised procedure that requires advanced endoscopic skills and an understanding of oesophageal anatomy and motility disorders.

Dr. Venkatesh’s training in Advanced Endoscopy supports his expertise in therapeutic procedures such as POEM, allowing selected patients to be evaluated for advanced minimally invasive treatment options.

Personalised Care

Treatment for achalasia should be tailored to the individual patient. Dr. Venkatesh evaluates the clinical presentation and relevant diagnostic findings before recommending an appropriate treatment strategy.

The focus is on understanding the underlying swallowing disorder and selecting a treatment approach that is appropriate for the patient’s specific condition.