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POEM Achalasia Cardia Per Oral Endoscopic Myotomy Endoscopic treatment

started by SPS Hospitals on 10 Sep 16
  • SPS Hospitals
     

    Ludhiana,
    Punjab
    : Poem
    (Per Oral Endoscopic Myotomy) is the most recent treatment for Achalasia Cardia
    & Esophageal (food pipe) motility disorders. The procedure marks the
    beginning of a new era of endoscopic surgery.





    A team of doctors led by Dr. Nirmaljeet Singh Malhi, Senior
    Consultant and Head , Department of Gastroenterology performed the first two
    POEM Procedures on 17th July, 2016 at SPS Hospitals, Ludhiana which
    becomes the first centre to perform such procedures in Punjab &
    surroundings states.



    Achalasia
    Cardia
    is a
    condition in which patients present with complaints of difficulty in swallowing
    and recurrent vomiting. In many patients it becomes so debilitating that they
    are unable swallow anything or vomit out whatever is swallowed. Also, these
    patients are distressed during night due to recurrent food regurgitation in
    wind pipe and choking sensation. The main causes of this are tight muscles at
    the junction of food-pipe and stomach which does not relax, on swallowing. Till
    recently only balloon dilation and surgery were the two options available for
    these patients. Balloon dilation is associated with the risk of esophageal
    perforation while surgery being major procedures is associated with high cost,
    morbidity and prolonged hospital stay.



    Dr. Umaid
    Hamid , Medical Superintended , SPS Hospitals added that in this era, POEM is
    the best available option in which using special technique and instruments,
    endoscope is inserted in the wall of food pipe and tight muscles are cut
    directly under vision. So, this is a kind of surgery which is performed
    completely endoscopically hence scarless, less costly and with shorter hospital
    stay. This procedure was performed on two such patients who were having
    significant difficulty in swallowing for last few years. These procedures
    (POEM) were uncomplicated and each procedure lasted less than two hours. The
    patients had no difficulty in swallowing when they were given food the next
    day.





    Dr.
    Ubaid informed till date only handful of Gastroenterology centers were
    performing this skilful procedures in India."Under the leadership of Dr.
    Nirmaljeet Singh Malhi, SPS Hospitals, Ludhiana is the first Centre to perform
    POEM procedures in this region", he added.





    POEM
    procedures is also very successful for patient who have already undergone
    balloon dilation/Surgery but are still symptomatic (difficulty in
    swallowing).Others conditions of food-pipe in which there is motility
    disturbance like Jackhammer esophagus( Which are difficult to treat) and
    non-cancerous tumor can be treated with POEM very effectively. For the correct
    diagnosis of esophageal motility disorders like achalasia etc, a special
    investigation - High Resolution Manometry (HRM) is needed. HRM is available at
    very few centers in northern India and SPS Hospitals is one of them.



    Availability
    of POEM in Punjab will prove to be a boon for patients with achalasia cardia
    and other motility disorders. Patients now can get their disease diagnosed
    precisely; avoid surgery and undergo safe and effective endoscopic procedure
    done at very affordable cost.

    http://bit.ly/2cwxTFq

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