GLOBAL HOSPITALS, MUMBAI DOCTOR PERFORMS “POEM”
INDIA’S FIRST INCISION-FREE SURGERY FOR ACHALASIA CARDIA
INDIA’S FIRST INCISION-FREE SURGERY FOR ACHALASIA CARDIA
28 Sept’12,
Mumbai: In an unprecedented development, Dr.
Amit Maydeo, Gastroenterologist at Global Hospitals, Mumbai performed India’s
first incision-free surgery called POEM to treat achalasia,
a distressing disorder which causes severe difficulty in swallowing, reflux, chest pain and eventually esophageal cancer.This innovative surgery was performed through the mouth.
a distressing disorder which causes severe difficulty in swallowing, reflux, chest pain and eventually esophageal cancer.This innovative surgery was performed through the mouth.
“Because of dramatic advances in technology,
we can now perform complex surgeries through the mouth with no external cut.
What we are seeing is the evolution of
surgery into special procedures of endoscopic surgery which need no incisions
at all. This technique was invented by Prof. Inoue from Japan and later
popularized by Prof. Zhou from Shanghai, China. After taking training from
Prof. Zhou recently, I was motivated to do this procedure in India for the
first time”, said Dr Amit Maydeo, Director of the Baldota Institute of
Digestive Sciences at Global Hospitals, Mumbai.
Elaborating
further on this innovative surgical technique, Dr Maydeo said “That we see
around 200 to 300 new patients of Achalasia Cardia in the city of Mumbai alone
every year. Achalasia cardia was a
condition where the muscles of the food pipe are too thick and do not relax
after swallowing. Therefore these patients cannot swallow their food, sometimes
water or even their own saliva. It is a very distressing disorder and due
stasis of the food in the esophagus, around 10% patients develop cancer of the
food pipe eventually.
This
condition has been traditionally treated by a Laparoscopic myotomy surgery
which usually requires around 2 hours and around 6 small incisions in the
stomach. Balloon dilatation has been another method to treat these patients but
the procedure is associated with an uncontrolled rupture of the muscle fibres
and is therefore considered dangerous. The new technique called ‘POEM’ which
was performed for the first time in India by Dr Maydeo is a type of Natural
orifice surgery performed through the mouth and can be completed in less than
90 minutes and the patient starts swallowing food from the next day itself
thereby preventing the development of cancer.
Pooja, (Name
changed), a 54 year lady from the Udgir taluka of Latur District of Maharashtra
suffered from chronic achalasia for twelve years resulting in a 10 Kgs weight
loss. She said, “When I tried to eat, the
food would get stuck in my throat. Since the past few months, I could not even
swallow water properly. All the water used to come out forcefully. I was
completely depressed over the past two years and could not lead a normal
life. I had undergone a balloon
dilatation few months back but I did not get any relief at all. I was advised
surgery but was too scared to undergo such a major procedure”.
She further added, “Since this scar-less surgery has been done, I do not even feel that I have had a procedure. I knew that this was the first time this procedure was being done in India but I wanted my doctors to find a potential new treatment for this distressing disease”.
She further added, “Since this scar-less surgery has been done, I do not even feel that I have had a procedure. I knew that this was the first time this procedure was being done in India but I wanted my doctors to find a potential new treatment for this distressing disease”.
Apollo Hospitals is Multi-Speciality Hospital in Navi Mumbai. Browse the specialities, doctors, working timings and facilities at Ask Apollo. Book Online appointment.
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