Per Oral Endoscopic Myotomy for Achalasia cardia: Tunnelling the esophagus.
We report a 52 years female otherwise healthy but symptomatic for progressive dysphagia since 12 years. For the past six months she had worsening of symptoms associated with vomiting, nasal and oral regurgitation and weight loss of 16 kgs. She was diagnosed as Achalasia cardia based on endoscopic, barium and high resolution manometric findings. Prior to the procedure resting LES pressure on HRM was 69.8 mmHg. Her Eckardt dysphagia score was 9/12. She underwent pneumatic balloon dilation once without any symptom relief. She was then offered laparoscopic Heller’s myotomy and POEM. She opted for POEM.
Since the time we reported first case of POEM from India so far we have performed 75 cases till date.
Dr. Amit Maydeo
Director, Baldota Institute of Digestive Sciences, Global Hospitals Mumbai
Dr. Nitin Joshi, BIDS.
Dr. S P Bhandari, BIDS.
Consultant Endoscopic Surgeon
Dr. Mukta Bapat
Consultant Gastroenterologist, BIDS.
Dr. Vinay Dhir
Chief of Endosonography and Head Clinical Research, BIDS.