Peroral Endoscopic Myotomy in Mumbai, Navi Mumbai

POEM (Peroral Endoscopic Myotomy) is a minimally invasive surgery for achalasia, a condition that affects the esophagus. The technique involves inserting an endoscope through the mouth into the esophagus. Using this endoscope, surgeons can precisely cut the muscles (myotomy) causing swallowing problems. Compared to traditional surgery, POEM has a shorter recovery time and causes minimal scarring. It is a promising treatment option for people with esophageal disorders that affect muscle movement.

Experience Peroral Endoscopic Myotomy (POEM) in Mumbai, Navi Mumbai at Dr. Purushottam Vashistha Clinic. Dr. Vashistha, a highly skilled specialist in digestive disorders, offers a cutting-edge, minimally invasive treatment for achalasia and other esophageal issues.

Experience the advantages of his expertise and personalized approach, guaranteeing a thorough and successful management strategy for your digestive well-being at his renowned clinic.

POEM Surgery in Mumbai, Navi Mumbai

Here's a brief outline of the POEM (Peroral Endoscopic Myotomy) surgery procedure performed by Dr. Purushottam Vashistha in Mumbai and Navi Mumbai:

1. Preparation: The patient is prepared through a thorough medical assessment. Fasting is required before the procedure.
2. Anesthesia: General anesthesia is administered to ensure the patient is unconscious and pain-free during the surgery.
3. Endoscope Insertion: A thin, flexible endoscope is inserted through the mouth and into the esophagus.
4. Myotomy: Dr. Purushottam Vashistha performs a myotomy, which involves making precise incisions in the inner lining of the esophagus. This step aims to relieve the tightness and allow easier passage of food.
5. Muscle Dissection: Careful dissection of the muscle layers is carried out to reach the targeted area.
6. Endoscopic Guidance: The entire procedure is guided by endoscopic visualization, allowing for precision and minimal invasiveness.

What to Expect After a Peroral Endoscopic Myotomy (POEM)?

After undergoing a Peroral Endoscopic Myotomy (POEM) in Mumbai, Navi Mumbai, patients can generally expect a specific recovery process and potential outcomes. It's important to note that individual experiences may vary, and it's crucial to follow the guidance of your healthcare provider.

Here's a general overview of what to expect after a POEM procedure:

1. Immediate Recovery:
   • Hospital Stay: Patients typically stay in the hospital for a day or two after the procedure for monitoring and recovery.
   • Pain Management: Some discomfort, sore throat, and chest pain may be experienced initially, but medications will be prescribed to manage pain.
2. Diet and Nutrition:
   • Nasogastric Tube: In some cases, a temporary nasogastric (NG) tube may be inserted to allow the esophagus to heal. This is usually removed after a day or two.
   • Gradual Introduction of Diet: Patients start with a liquid diet and gradually transition to soft foods before resuming a normal diet. The timeline for this progression will be guided by your healthcare team.
3. Activity and Rest:
   • Limited Physical Activity: Patients are advised to avoid strenuous activities for a certain period to allow for proper healing.
   • Rest: Adequate rest is essential for recovery.
4. Follow-up Appointments:
   • Postoperative Follow-ups: Regular follow-up appointments will be scheduled to monitor your progress and address any concerns.
   • Endoscopy: Follow-up endoscopy may be performed to evaluate the healing of the esophagus.
5. Potential Complications:
   • Reflux Symptoms: Some patients may experience temporary reflux symptoms post-POEM, which can be managed with medications.
   • Infection or Bleeding: While rare, there may be a risk of infection or bleeding, so it's essential to be vigilant for any signs of complications and report them promptly to your healthcare provider.

Benefits and Risks of Peroral Endoscopic Myotomy (POEM)

Benefits of Peroral Endoscopic Myotomy (POEM):

1. Minimally Invasive: POEM is a less invasive alternative to traditional surgical methods. It is performed through the mouth, eliminating the need for external incisions. This can lead to reduced pain, shorter hospital stays, and faster recovery times.
2. Effective Treatment for Achalasia: POEM has shown high success rates in treating achalasia, a condition characterized by the inability of the lower esophageal sphincter to relax, leading to difficulty in swallowing. Patients often experience significant improvement in symptoms such as dysphagia (difficulty swallowing) after undergoing POEM.
3. Improved Quality of Life: Successful POEM procedures can result in improved quality of life for patients, with better ability to eat and drink without difficulty.
4. Avoidance of Traditional Surgery: POEM offers an alternative to traditional surgical procedures like Heller myotomy, which involves making incisions in the abdomen or chest. For patients who may not be suitable candidates for open surgery, POEM can be a viable option.
5. Shorter Hospital Stay: Typically, patients undergoing POEM may have a shorter hospital stay compared to traditional surgical options, contributing to a quicker return to normal activities.

Risks and Considerations of Peroral Endoscopic Myotomy (POEM):

1. Perforation: There is a risk of perforation or injury to the esophagus or surrounding structures during the procedure. This risk is typically managed promptly if detected and may require additional intervention.
2. Reflux: Some patients may experience gastroesophageal reflux disease (GERD) after POEM. This can lead to symptoms such as heartburn and regurgitation. Precautions and post-operative management are often implemented to minimize this risk.
3. Infection: As with any surgical procedure, there is a risk of infection, although it is generally low. Strict adherence to sterile techniques helps mitigate this risk.
4. Postoperative Pain: While POEM is less invasive than traditional surgery, some patients may experience postoperative pain or discomfort. Pain management strategies are implemented to address this concern.
5. Technical Expertise Required: Performing POEM requires specialized training and expertise in advanced endoscopic techniques. This means that not all medical centers may offer this procedure, limiting accessibility for some patients.