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 Medanta The Medicity, Kamineni Hospital, Tadigadapa, Gem Hospital Perungudi, SIMS Hospital Vadapalani, KMC Hospital Mangalore, 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.
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.
I'd been to three other doctors...
I'd been to three other doctors for this nagging pain and fatigue. Everyone said it was stress. Dr. Latha at MGM was the first one who actually sat and listened, really listened, to everything I was saying. She ordered a specific test the others hadn't, and it turned out to be something quite rare. She explained it all to me in plain Tamil, drew diagrams on a notepad. I was scared, but she laid out a clear plan. It's been a long road, but I finally feel like we're getting somewhere.
Gastroenterologists for Peroral Endoscopic Myotomy
Explore experienced gastroenterologists who regularly perform peroral endoscopic myotomy and provide pre- and post-operative care in India.
- 37 Years Experience
- Gastroenterologist
Manipal Hospital Jayanagar
- 33 Years Experience
- Gastroenterologist
KMC Hospital Mangalore
- 15 Years Experience
- Gastroenterologist
Manipal Hospital Millers Road
- 13 Years Experience
- Gastroenterologist
Manipal Hospital Sarjapur Road
- 41 Years Experience
- Gastroenterologist
KMC Hospital Mangalore
- 22 Years Experience
- Gastroenterologist
Manipal Hospitals Broadway
- 13 Years Experience
- Gastroenterologist
Manipal Hospital Sarjapur Road
- 15 Years Experience
- Gastroenterologist
Manipal Hospital Baner
- 9 Years Experience
- Gastroenterologist
KMC Hospital Mangalore
- 19 Years Experience
- Gastroenterologist
Manipal Hospital Yeshwanthpur
- 22 Years Experience
- Gastroenterologist
Manipal Hospital Malleshwaram
- 12 Years Experience
- Gastroenterologist
Manipal Hospital Ranchi
- 14 Years Experience
- Gastroenterologist
Manipal Hospitals Broadway
- 14 Years Experience
- Gastroenterologist
Manipal Hospital Gurgaon
- 14 Years Experience
- Gastroenterologist
Manipal Hospital Millers Road
- 9 Years Experience
- Gastroenterologist
Gem Hospital Aminjikarai
- 12 Years Experience
- Gastroenterologist
Manipal Hospital Malleshwaram
- 17 Years Experience
- Gastroenterologist
Gem Hospital Aminjikarai
- 14 Years Experience
- Gastroenterologist
Manipal Hospital Bhubaneswar
- 10 Years Experience
- Gastroenterologist
Manipal Hospital Yeshwanthpur