Ludhiana: POEM (Per Oral Endoscopic Myotomy) most recent treatment for achalasia cardia performed at the SPS Hospitals, Ludhiana first such procedure in the Punjab and surrounding states as informed in a release issued on Thursday.
Achalasia Cardia is a condition in which patients present with the complaints of difficulty in the swallowing and recurrent. In number of patients it becomes debilitating that they are unable to swallow anything or vomits out whatever is swallowed. These patients are distressed during night due to recurrent food regurgitation in wind pipe and choking sensation. The main cause of this is tight muscles at the junction of esophagus (food pipe) and stomach which does not relax on swallowing.
Dr Nirmaljit Singh Mallhi, senior consultant and head department of the Gastroenterology at SPS Hospitals, Ludhiana who performed first procedure on July 17 told that till recently only balloon dilatation and surgery were the two options available for these patients. Balloon dilatation is associated with the risk of esophageal perforation while surgery being a major procedure is associated with the high cost morbidity and prolonged hospital stay.
Dr Mallhi added that is this era POEM is the best available option in which using special technique and instruments, endoscope is inserted in the wall of food pipe and tight muscles are cut directly under vision. So this is kind of surgery which is performed endsocopically hence scarless, less costly and with shorter hospital stay. This procedure was performed on two patients who were having significant difficulty in swallowing for last few years.
Dr Mallhi announced that POEM is also very successful for patients who have already undergone balloon dilatation / surgery but are still symptomatic (difficulty in swallowing). Other conditions of the esophagus (food pipe) in which there is motility disturbance like jackhammer esophagus etc. which are very difficult to treat) can be treated with Poem very effectively.
For the correct diagnosis of esophageal motility disorders like achalasia etc, a special investigation –High Resolution Manometry (HRM) is needed. HRM is available at very few centers in northern India and SPS is one of them. SPS Hospitals doctors announcing the POEM treatment in Ludhiana on Thursday. DP
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