Achalasia Treatment in India

Achalasia is a rare esophageal motility disorder where the lower esophageal sphincter (LES) fails to relax properly, and the esophagus loses its ability to push food down into the stomach. While often managed by a gastroenterologist, a cardiologist may be involved in the diagnosis and management due to the overlap of symptoms with cardiac chest pain and the use of certain diagnostic tools. The primary goal of treatment is to relieve the obstruction at the LES. This is most commonly achieved through a minimally invasive endoscopic procedure called Peroral Endoscopic Myotomy (POEM) or a laparoscopic surgical procedure called Heller Myotomy, often combined with a partial fundoplication to prevent reflux. These procedures effectively cut the tight muscle fibers, allowing food and liquid to pass into the stomach normally, significantly improving swallowing and quality of life.