About Peroral Endoscopic Myotomy
Key Highlights
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Minimally invasive and incisionless, performed entirely through the mouth.No external scars, leading to better cosmetic outcomes.Typically results in shorter hospital stay and faster recovery compared to traditional surgery.High success rate in relieving symptoms of achalasia and improving swallowing.May reduce post-procedure pain and risk of certain complications like gastroesophageal reflux.
Who is this surgery for?
- Primary treatment for achalasia cardia (Types I, II, and III).
- Failed previous treatments for achalasia, such as balloon dilation or botulinum toxin injection.
- Spastic esophageal motility disorders like diffuse esophageal spasm or jackhammer esophagus.
- Symptomatic patients with significant difficulty swallowing (dysphagia), regurgitation, or chest pain.
How to prepare
- Complete a thorough medical evaluation, which may include imaging and esophageal manometry.
- Discuss all current medications with your doctor; you may need to stop blood thinners several days prior.
- Fast (no food or drink) for at least 8-12 hours before the procedure to ensure an empty stomach.
- Arrange for someone to drive you home after discharge, as sedation is used.
Risks & possible complications
- Perforation or tear in the esophageal or stomach lining.
- Bleeding at the myotomy site.
- Infection, such as mediastinitis (though rare).
- Development of or worsening gastroesophageal reflux disease (GERD).
- Subcutaneous emphysema (air under the skin) or pneumothorax (collapsed lung) - rare.
- Adverse reaction to anesthesia.
Recovery & hospital stay
- Hospital stay is typically 1-3 days for monitoring.
- Start with a clear liquid diet, advancing to soft foods as tolerated over several days.
- Avoid strenuous activity, heavy lifting, and driving for at least one week.
- You may experience mild chest discomfort or sore throat, which usually resolves quickly.
- Attend all scheduled follow-up appointments to monitor healing and symptom improvement.
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Typical hospital stay: 1-3 days
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Expected recovery time: 1-2 weeks for normal activities, 4-6 weeks for complete healing
Frequently Asked Questions
If you are considering peroral endoscopic myotomy in India, these questions and answers can help you make a confident, informed decision.
Popular choices for peroral endoscopic myotomy in India include Kamineni Hospital, Tadigadapa, SIMS Hospital Vadapalani, KMC Hospital Mangalore, Manipal Hospital Baner, Manipal Hospital Dwarka, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform peroral endoscopic myotomy. MediFyr helps you compare gastroenterologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for peroral endoscopic myotomy compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 250 Thousand – 500 Thousand | 1-3 days | ~ 1-2 weeks for normal activities, 4-6 weeks for complete healing | Know More |
| Turkey | TRY 875 Thousand – 1.75 Million | 1-3 days | ~ 1-2 weeks for normal activities, 4-6 weeks for complete healing | Know More |
Top hospitals for Peroral Endoscopic Myotomy in India
These partner hospitals in India have dedicated gastroenterology teams and experience managing patients undergoing peroral endoscopic myotomy.
Sarah Garcia, a 42-year-old high school...
Sarah Garcia, a 42-year-old high school Spanish teacher and mother of two, had been struggling for over three years. Her journey began with the simple annoyance of food feeling 'stuck' in her chest, which escalated into severe chest pain, regurgitation of undigested food, and significant weight loss. She was constantly sipping water to push meals down and had stopped eating in public out of embarrassment. After numerous tests, including a barium swallow and manometry, she was diagnosed with achalasia. Her gastroenterologist, Dr. Lee, explained that her lower esophageal sphincter wouldn't relax, trapping food. He recommended POEM as a minimally invasive alternative to traditional surgery, highlighting its precision and quicker recovery. Sarah was terrified but desperate for relief. The procedure itself was under general anesthesia. She remembers nothing of the POEM but woke up with a sore throat. The first 48 hours on a liquid diet were challenging, but within a week, she ate soft foods without pain for the first time in years. By her one-month follow-up, she had regained 10 pounds and could enjoy a family dinner. Emotionally, she transitioned from a state of constant anxiety and isolation to one of profound gratitude and regained joy. She feels like she has her life back and is planning a 'food adventure' vacation with her family.
Gastroenterologists for Peroral Endoscopic Myotomy
Explore experienced gastroenterologists who regularly perform peroral endoscopic myotomy and provide pre- and post-operative care in India.
- 25 Years Experience
- Gastroenterologist
Miot Hospital Chennai, Chennai
- 34 Years Experience
- Gastroenterologist
Miot Hospital Chennai, Chennai
- 20 Years Experience
- Gastroenterologist
Manipal Hospital Old Airport Road, Bangalore
- 39 Years Experience
- Gastroenterologist
Manipal Hospital Old Airport Road, Bangalore
- 16 Years Experience
- Gastroenterologist
Manipal Hospital Bhubaneswar, Bhubaneshwar
- 11 Years Experience
- Gastroenterologist
Manipal Hospital Bhubaneswar, Bhubaneshwar
- 11 Years Experience
- Gastroenterologist
Kamineni Hospital LB Nagar, Hyderabad
- 8 Years Experience
- Gastroenterologist
Kamineni Hospital LB Nagar, Hyderabad
- 14 Years Experience
- Gastroenterologist
Manipal Hospital Gurgaon, Gurgaon
- 18 Years Experience
- Gastroenterologist
- 49 Years Experience
- Gastroenterologist
Manipal Hospital Old Airport Road, Bangalore
- 35 Years Experience
- Gastroenterologist
- 32 Years Experience
- Gastroenterologist
- 30 Years Experience
- Gastroenterologist
Metro Hospital, Sector 11, Noida
- 30 Years Experience
- Gastroenterologist
Metro Hospital, Sector 11, Noida
- 21 Years Experience
- Gastroenterologist
- 21 Years Experience
- Gastroenterologist
Manipal Hospital Old Airport Road, Bangalore
- 15 Years Experience
- Gastroenterologist
Manipal Hospital Old Airport Road, Bangalore
- 10 Years Experience
- Gastroenterologist
Metro Hospital, Sector 11, Noida
- 9 Years Experience
- Gastroenterologist
Miot Hospital Chennai, Chennai