POEM is a minimally invasive procedure that uses a high definition endoscope (a flexible tube with a mounted camera at end) to help treat certain swallowing disorders and stands for Peroral Endoscopic Myotomy.
Who cannot undergo this procedure?
Although POEM is a safe and effective procedure, it may not be a suitable option in certain cases. People with any of the following conditions are generally not recommended to undergo POEM for achalasia:
1. Disorders of coagulation
2. History of any kind of therapy that is likely to compromise the integrity of the mucosa of the esophagus or lead to fibrosis of the submucosa for e.g. radiation for cancer treatment, endoscopic mucosal resection, or radiofrequency ablation
3. Liver cirrhosis with portal hypertension
4. Severe erosive esophagitis
When should it be done?
POEM is generally indicated for treating the following disease:
1. Achalasia: It is a medical condition that affects the muscles of the esophagus. The lower esophageal sphincter (LES), a muscular valve present between the esophagus and the stomach fails to relax during swallowing in this condition.
2. Diffuse esophageal spasm: Esophageal disorders of muscle spasm that are unresponsive to medical therapies
3. Nutcracker esophagus also known as hypertensive peristalsis is a muscle spasm disorder which needs surgical correction.
POEM Topics in This Video:
0:07- What is POEM? and Why is POEM done?
0:23- Indications of POEM
0:34- Who are eligible for POEM? and How is the procedure done?
1:26- Benefits of POEM
1:37- POEM Success rate
The animation summarises useful information about POEM.
Like the video and share it with your friends to spread awareness!
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Peroral endoscopic myotomy (POEM) for Achalasia:
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Case Study - Peroral endoscopic Myotomy (POEM) – Achalasia Cardia:
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