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Çakırtepe Hastanesi
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POEM (Achalasia Treatment)

About the Treatment Method

POEM (Peroral Endoscopic Myotomy) is the most current and least invasive procedure used in the treatment of the "Achalasia" disease, in which the patient cannot swallow anything solid or liquid and constantly vomits what they eat as a result of the inability of the muscles (sphincter) at the lower end of the esophagus to relax. Without cutting the abdomen or chest, the endoscope device is directly inserted through the mouth, and proceeding through the tunnel of the esophagus, those tightened muscles are cut (relaxed) from the inside to treat the disease.

Incisionless Relaxation Operation

The endoscopic POEM revolution against laparoscopic surgery.
What is the difference from older surgeries (Heller Myotomy)?

In the classical method, closed (laparoscopic) surgery holes were opened from the patient's abdomen, and the muscles were cut from the outside by going up from the stomach. In the POEM method, however, there is no incision or scar on the body; the procedure is performed just like a standard stomach endoscopy, entering only through the mouth and digging a tunnel under the mucous membrane (mucosa).

Is POEM suitable for every age and every type of achalasia?

There are 3 different types of Achalasia disease. Especially in Achalasia types where the esophagus contracts from start to finish (Type 3 - Spastic), classical laparoscopic surgery cannot reach that high up, whereas POEM can cut the muscle to the desired length since it starts from the mouth. Therefore, it is the method with the highest success rate (approximately 90-95%) in all types of achalasia.

When can food be eaten after the procedure?

The procedure usually takes 1-2 hours and is performed under general anesthesia. The patient is kept under observation in the hospital for 1 or 2 nights. After the control film taken the next day, the patient starts to be fed with liquid foods. The patient, who has been choking even while swallowing water for years, immediately notices that liquids flow away like oil.

The information on this page is for general health advice. Please consult specialized physicians for personalized treatment or advice.


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