POEM (Per Oral Endoscopic Myotomy) is a state-of-the-art, minimally invasive endoscopic procedure used to treat esophageal motility disorders, most commonly achalasia. It offers an effective alternative to conventional surgical myotomy, providing long-lasting symptom relief without external incisions.

In POEM, a flexible endoscope is passed through the mouth to access the esophagus. A small incision is made in the inner lining of the esophagus to create a submucosal tunnel. Through this tunnel, the abnormal, tight muscle fibers of the lower esophageal sphincter and affected esophageal muscles are carefully divided, allowing food and liquids to pass smoothly into the stomach.

POEM is highly effective for all types of achalasia, including type I, II, and III, and can also be used for other spastic esophageal disorders such as diffuse esophageal spasm and jackhammer esophagus. The procedure allows precise, customized myotomy length based on the patient’s condition, resulting in excellent symptom control and improved swallowing.

The advantages of POEM include minimal postoperative pain, no visible scars, shorter hospital stay, and faster recovery compared to open or laparoscopic surgery. Most patients are able to resume oral intake within a short period and experience significant improvement in symptoms such as dysphagia, chest pain, and regurgitation.

With high success rates and proven long-term outcomes, POEM has become a preferred treatment option for esophageal motility disorders. When performed by experienced therapeutic endoscopists, it is a safe and effective procedure that significantly enhances patient comfort, nutrition, and overall quality of life.