Learn about Peroral Endoscopic Myotomy Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Peroral Endoscopic Myotomy and request assistance for cost estimates or appointments.

About Peroral Endoscopic Myotomy

Peroral Endoscopic Myotomy (POEM) is a minimally invasive, incisionless procedure performed by a gastroenterologist to treat swallowing disorders like achalasia. Using an endoscope passed through the mouth, the specialist creates a tunnel in the esophageal lining to access and carefully cut the dysfunctional lower esophageal sphincter muscle. This relieves the obstruction, allowing food and liquid to pass into the stomach normally. POEM offers a highly effective alternative to traditional surgery, resulting in less pain, no external scars, and a faster recovery. It is a leading-edge technique that combines endoscopic precision with therapeutic benefits for improved long-term outcomes.

Key Highlights

    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.
  • checked Typical hospital stay: 1-3 days
  • checked 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.

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 USD 2,629 – USD 5,258 1-3 days ~ 1-2 weeks for normal activities, 4-6 weeks for complete healing Know More
Turkey USD 19,045 – USD 38,090 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.

Manipal Hospital Rangapani

  • IconSiliguri, India
  • Icon13 Doctors

Manipal Hospital

  • IconPanaji, India
  • Icon79 Doctors

Manipal Hospital Whitefield

  • IconBangalore, India
  • Icon105 Doctors

Manipal Hospital

  • IconSiliguri, India
  • Icon30 Doctors

Kamineni Hospital, Tadigadapa

  • Iconvijayawada, India
  • Icon44 Doctors

Manipal Hospital

  • IconPatiala, India
  • Icon52 Doctors

Manipal Hospital

  • IconBangalore, India
  • Icon75 Doctors

Manipal Hospital Salt Lake

  • IconKolkata, India
  • Icon129 Doctors

Gem Hospital Perungudi

  • IconChennai, India
  • Icon41 Doctors

Gem Hospital Aminjikarai

  • IconChennai, India
  • Icon200 Doctors

Manipal Hospital

  • IconSalem, India
  • Icon18 Doctors

KMC Hospital

  • IconMangalore, India
  • Icon38 Doctors

Manipal Hospital Jayanagar

  • IconBangalore, India
  • Icon57 Doctors

Manipal Hospital Hebbal

  • IconBangalore, India
  • Icon150 Doctors

Manipal Hospital

  • IconRanchi, India
  • Icon41 Doctors

Manipal Hospital

  • IconJaipur, India
  • Icon55 Doctors

Manipal Hospital EM Bypass

  • IconKolkata, India
  • Icon94 Doctors

SIMS Hospital

  • IconChennai, India
  • Icon71 Doctors

Manipal Hospital Malleshwaram

  • IconBangalore, India
  • Icon105 Doctors

Medanta The Medicity

  • IconGurgaon, India
  • Icon900 Doctors

Gastroenterologists for Peroral Endoscopic Myotomy

Explore experienced gastroenterologists who regularly perform peroral endoscopic myotomy and provide pre- and post-operative care in India.

Dr. S Palaniappan - Gastroenterologist at Miot Hospital Chennai with 18 years experience
  • 18 Years Experience
  • Gastroenterologist
Speaks: English, Tamil, Hindi

MediFyr Plus Miot Hospital Chennai

OPD-desk synced • Updated
Dr. A Murali - Gastroenterologist at Miot Hospital Chennai with 42 years experience
  • 42 Years Experience
  • Gastroenterologist
Speaks: English, Tamil

MediFyr Plus Miot Hospital Chennai

OPD-desk synced • Updated
Dr. Mohit P Shetti - Gastroenterologist at Manipal Hospital Old Airport Road with 21 years experience
  • 21 Years Experience
  • Gastroenterologist
Speaks: English, Hindi

MediFyr Plus Manipal Hospital Old Airport Road

OPD-desk synced • Updated
Dr. Sreenivasa D - Gastroenterologist at Manipal Hospital Old Airport Road with 40 years experience
  • 40 Years Experience
  • Gastroenterologist
Speaks: English, Hindi

MediFyr Plus Manipal Hospital Old Airport Road

OPD-desk synced • Updated
Dr. Sridhar C.G - Gastroenterologist at Gem Hospital Coimbatore with 11 years experience
  • 11 Years Experience
  • Gastroenterologist
Speaks: English, Tamil

MediFyr Plus Gem Hospital Coimbatore

OPD-desk synced • Updated
Dr. Mohd. Juned Khan - Gastroenterologist at Gem Hospital Coimbatore with 16 years experience
  • 16 Years Experience
  • Gastroenterologist
Speaks: English, Tamil

MediFyr Plus Gem Hospital Coimbatore

OPD-desk synced • Updated
Dr. Santhosh P - Gastroenterologist at Gem Hospital Coimbatore with 11 years experience
  • 11 Years Experience
  • Gastroenterologist
Speaks: English, Tamil

MediFyr Plus Gem Hospital Coimbatore

OPD-desk synced • Updated
Dr. B. Harri Prasad - Gastroenterologist at Gem Hospital Perungudi with 13 years experience
  • 13 Years Experience
  • Gastroenterologist
Speaks: English, Tamil

MediFyr Plus Gem Hospital Perungudi

OPD-desk synced • Updated
Dr. Pratap Kumar Behera - Gastroenterologist at Manipal Hospital Bhubaneswar with 20 years experience
  • 20 Years Experience
  • Gastroenterologist
Speaks: English, Hindi

MediFyr Plus Manipal Hospital Bhubaneswar

OPD-desk synced • Updated
Dr. Gyanranjan Rout - Gastroenterologist at Manipal Hospital Bhubaneswar with 13 years experience
  • 13 Years Experience
  • Gastroenterologist
Speaks: English, Hindi

MediFyr Plus Manipal Hospital Bhubaneswar

OPD-desk synced • Updated
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