Peroral Endoscopic Myotomy: Procedure, Risks, and Recovery

Peroral Endoscopic Myotomy, also known as POEM procedure, is a minimally invasive surgical technique used to treat achalasia, a condition that affects the esophagus.

This procedure involves making a small incision in the lining of the esophagus to allow for easier passage of food and liquids.

Peroral Endoscopic Myotomy surgery is considered an effective treatment option for achalasia, offering patients relief from symptoms such as difficulty swallowing, chest pain, and regurgitation.

Indications of Peroral Endoscopic Myotomy

Peroral Endoscopic Myotomy surgery is recommended for patients diagnosed with achalasia, a rare disorder that affects the ability of the esophagus to move food into the stomach.

Common symptoms of achalasia include difficulty swallowing, chest pain, regurgitation of food, and weight loss. If conservative treatments such as medication or dilation therapy do not provide relief, Peroral Endoscopic Myotomy may be recommended by healthcare providers.

Steps involved in Peroral Endoscopic Myotomy Surgery

During a Peroral Endoscopic Myotomy procedure, the patient is placed under general anesthesia to ensure comfort and safety. A thin, flexible tube with a camera attached (endoscope) is inserted through the mouth and into the esophagus.

Using specialized instruments, the surgeon makes a small incision in the lining of the esophagus to access the muscles responsible for swallowing. The muscles are then cut to allow for easier passage of food and liquids, relieving symptoms of achalasia.

Who will perform Peroral Endoscopic Myotomy Surgery?

Peroral Endoscopic Myotomy surgery is typically performed by a gastroenterologist or a surgeon who specializes in minimally invasive procedures. These healthcare professionals have the necessary training and expertise to perform Peroral Endoscopic Myotomy safely and effectively.

Before undergoing surgery, patients should discuss the procedure with their healthcare provider to ensure they are well-informed about the risks and benefits.

Preparing for Peroral Endoscopic Myotomy Surgery

Before undergoing Peroral Endoscopic Myotomy surgery, patients will need to follow specific preoperative instructions provided by their healthcare provider. This may include fasting for a certain period before the procedure, stopping certain medications, and undergoing preoperative testing.

It is essential to communicate any allergies or medical conditions to the healthcare team to ensure a safe surgery and recovery process.

Recovery after Peroral Endoscopic Myotomy surgery

After Peroral Endoscopic Myotomy surgery, patients will be monitored closely in a recovery area to ensure they are stable and comfortable. Most patients can return home the same day or after a short hospital stay.

Recovery time varies for each individual, but patients are advised to avoid strenuous activities, heavy lifting, and certain foods that may irritate the esophagus. Follow-up appointments with the healthcare team will be scheduled to monitor progress and address any concerns.

Before and After Peroral Endoscopic Myotomy surgery

• Before Peroral Endoscopic Myotomy surgery, patients may need to undergo diagnostic tests such as an endoscopy or esophageal manometry.
• After Peroral Endoscopic Myotomy surgery, patients may experience temporary soreness in the throat and may be advised to follow a soft diet for a period of time.
• Before surgery, patients should discuss any concerns or questions with their healthcare provider to ensure they are well-prepared for the procedure.
• After surgery, patients should follow postoperative instructions carefully to promote healing and reduce the risk of complications.