Peroral Endoscopic Myotomy

POEM is relatively a new less invasive endoscopic procedure used to treat swallowing disorders, most commonly for Achalasia. A flexible tube attached with a camera and a light source is used which enables the doctor to view images on a monitor screen.

This procedure (POEM)is used to:

  • Achalasia
  • Spastic esophageal disorders not responding to medical therapies

• It may be required for the patient to be on a liquid diet for two days prior to the procedure.
• The patient may not eat or drink for 12 hours prior to your procedure to ensures that the esophagus is clear.
• You need to disclose your current medications if any you are on or any allergies and you are required fasting for 6-8 hours prior to the procedure.

Typically, the procedure is performed in an in-patient environment and the duration of the procedure may take between one hour and three hours.

EUS is generally a safe procedure. However, the procedure may bring some complications, such as:

– Perforation (in the lining of the esophagus)

– Reaction to sedation

– Infection

– Bleeding

One may feel bloated after the procedure and you may be asked to consume a liquid diet for about 1 week, and gradually advancing to a regular diet.