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    What defines peroral endoscopic myotomy (POEM)? 

    POEM (Peroral Endoscopic Myotomy) is an advanced and time-tested endoscopic treatment that assists in relaxing the muscles of the esophagus, enabling food and beverages to glide more effortlessly from the mouth to the stomach. Incorporating a flexible, sleek tube, usually known as an endoscope, the expert surgeon makes tiny, minimally invasive incisions in the inner layer of the esophagus to identify and address the tight or spastic muscles developing the issues. 

    This effective and less painful surgery alleviates the requirement of external cuts, making it a safer, less excruciating, and prompt solution in the case of downtime compared to conventional methods. 

    Who needs to consider this treatment?

    POEM is especially suggested for people struggling with the following health concerns: 

    • Achalasia: 

    An unusual ailment characterised by the inability of the lower esophageal sphincter (LES) to relax, creating hindrance for people when they try to swallow. 

    • Diffuse Esophageal Spasm (DES):

    Unsynchronised movements of the esophagus resulting in unbearable pain and swallowing problems. 

    • Esophagogastric junction outflow impairment: 

    It is a medical condition where it becomes complicated for the esophagus to transfer food into the stomach because of partial blockage or dysfunction. 

    • Ineffective prior treatments: 

    People who realised that other therapeutic solutions, such as harsh medications, expensive botox injections, or balloon dilation, have not led to a little success.

    What are the factors contributing to this ailment? 

    Swallowing issues addressed by POEM typically develop from major neuromuscular problems. Some prevailing reasons involve: 

    • Scar tissue formation: 

    Impairment of the esophagus because of persistent acid reflux or prior major surgical treatments can create scars and limit motility. 

    • Autoimmune issues: 

    Medical conditions such as scleroderma can considerably impact the esophageal muscles to stiffen and loosen their flexibility. 

    • Aging-related degeneration: LES

    Deterioration of esophagus muscles due to advanced age can reduce its capacity to synchronise swallowing. 

    • Trauma or severe injury: 

    Any prior physical injury or harm resulting from medical interventions can combat the esophagus from operating smoothly. 

    • Tumors or unusual growths: 

    Mild or significant growths in the esophagus can disrupt your ability to swallow and obstruct muscle movement.

    Prevailing signs of swallowing disorders

    Swallowing disorders can dramatically influence your quality of life, with alarming signs particularly deteriorating with the passage of time. Common symptoms that necessitate POEM involve: 

    • Experiencing issues in swallowing food or drinks, popularly known as dysphagia. 
    • The expulsion of food that remains undigested along with saliva from your stomach. 
    • The feeling of food being trapped in the chest or throat area. 
    • Burning sensations in the heart or suffering from extreme chest pain.
    • Sudden weight loss or malnutrition. 
    • Persistent coughing or choking during having meals. 

    If you are someone dealing with such concerns, taking expert guidance is vital.

    Proven treatments for these disorders

    While POEM is an incredibly effective treatment solution, Other treatments can be suggested after assessing your condition: 

    • Medications: 

    Tablets like muscle relaxants or calcium channel blockers may assist in minimising the esophageal spasms, however, their impact is somewhat constrained. 

    • Botox Injections: 

    Botulinum toxin can relieve the lower esophageal sphincter but usually demands multiple sittings. 

    • Balloon dilation: 

    In this treatment, a balloon is placed and blown to expand the esophagus, offering a short-term ease. 

    • Heller Myotomy: 

    Conventional surgical treatment includes external incisions to cut esophageal muscles. 

    • POEM: 

    POEM, recognised as the most effective and advanced treatment, offers long-term relief with minimal side effects and rapid healing time. With POEM, you can regain your health and self-esteem, knowing that you are receiving the best possible care for your condition. 

    Regain health and self-esteem with POEM

    If gliding food and liquids has become a significant concern, Peroral Endoscopic Myotomy (POEM) delivers an innovative treatment to retrieve relaxation and convenience in your routine life. This less invasive technique is crafted to elevate your quality of life by tackling the underlying causes of swallowing disorders, enabling you to savour your favourite food without fear or pain. 

    At Ameritus Hospital, our team of dedicated and certified specialists is passionate about offering compassionate care with a patient-centric approach. Incorporating the latest techniques and top-notch professional support, we provide altered treatment plans and permanent relief.

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