Peroral Endoscopic Myotomy (POEM) is endoscopic, which is similar to a surgical myotomy. It is a new method for the management of achalasia.
POEM Surgery or operation uses the principles of submucosal endoscopy. It is used to transform the submucosal layer in the esophagus and proximal stomach into a passageway. This tunnel is via the esophageal and gastric myotomy, which are carried out using a flexible endoscope.
The POEM Operation is done personally without any incisions in the chest or abdomen, with pain and fast recovery!
This is a newly introduced method. There are very few surgeons around the country who are offering this treatment for Achalasia.
In some studies, the POEM Operation was superior to Heller myotomy (another surgical option), especially for type III achalasia.
In addition, conditions such as “Jack Hammer Esophagus” and “diffuse esophageal spasms” can be treated with POEM procedures.
Heller Myotomy: this is a laparoscopic or robotic procedure through a small incision in the abdomen. This is a surgical procedure in which the muscles of the cardia (lower esophageal sphincter, or LES) are cut, allowing food and liquids to pass to the stomach.
Owner and Founder of BMI Surgical Institute, Dr. Aryaie, remains as one of the very few advanced endoscopic surgeons in the entire United States who perform POEM procedure as an operation for achalasia.