Peroral Endoscopic Myotomy (POEM) procedure is an advanced endoscopic treatment method used in achalasia or some esophagus diseases. With the Peroral Endoscopic Myotomy (POEM) method applied in a few centers in the world, the problematical muscles are cut by entering through the mouth as if normal endoscopy is performed.

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In which diseases is POEM used?

It is a treatment method for achalasia disease, which has symptoms such as difficulty in swallowing after eating, a feeling of food stuck and congestion in the chest, discomfort in the chest, food coming back from the mouth, lung infections due to food getting into the lungs, bad breath and chest pain.

How is POEM performed? How is POEM applied?

The problematic muscles in the esophagus are cut by entering through the mouth as if classical endoscopy is performed with the POEM method applied in a few centers in the world. After the diagnosis of achalasia disease, with some endoscopic methods, the muscles in the esophagus are intervened endoscopically, allowing the patient to eat again.

What are the distinctive features of the POEM method?

The most advanced endoscopic treatment methods in the world are now successfully applied in our country. Since the procedure is done endoscopically, there are no incisions on the body and the patient is discharged in a short time. Patients start eating 1 day after POEM procedure, which takes approximately 1-1.5 hours, and continue their lives on the 2nd day in a healthy way. The success rates in long term are quite high. In our center, achalasia disease can be treated by using advanced endoscopic systems.

Frequently asked questions

  1. What does POEM mean?
    Peroral Endoscopic Myotomy (POEM) procedure is an advanced endoscopic treatment method used in achalasia or some esophagus diseases. With the Peroral Endoscopic Myotomy (POEM) method applied in a few centers in the world, the problematical muscles are cut by entering through the mouth as if normal endoscopy is performed. The muscles in the esophagus affected by the achalasia disease are intervened endoscopically and the patient is provided to eat easily again.
  2. What is esophageal manometry?
    The working order of the esophagus and contraction movements during swallowing are examined by manometry. In endoscopic evaluations in patients presented to the doctor with swallowing disorder, if a tumoral condition is not detected and there is no reflux symptom, the diagnosis of achalasia is confirmed by manometric methods. These manometric examinations can be successfully performed in the Motility Center in the newly opened Advanced Endoscopy Center of Memorial Bahçelievler Hospital.
  3. What is the success rate of POEM method, which is the treatment of achalasia disease?
    The biggest advantage of POEM method is that the success rate of achalasia disease is high when compared to other endoscopic methods. Considering the 5-year results, it is known that the success rates are over 90 percent.
  4. Is POEM, a treatment for achalasia disease, a risky procedure?
    In addition, since the complication rates are low, it is currently the first preferred treatment method in the primary treatment of achalasia disease in the world.
  5. Can patients with previous botox, balloon or surgical treatment for achalasia disease also be treated with the POEM method?
    POEM method can be applied safely in patients who have been treated for achalasia disease but whose complaints have not regressed or recurred.POEM

12 February 2021

17 June 2020

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