Peroral Endoscopic Myotomy (POEM) is an advanced endoscopic procedure used primarily for the treatment of Achalasia Cardia, a condition in which the lower esophageal sphincter does not relax properly and the esophagus has difficulty moving food toward the stomach. Patients with achalasia may experience progressive difficulty swallowing, regurgitation of food or liquids, chest discomfort, weight loss, and a feeling that food is getting stuck behind the chest.
During POEM, a flexible endoscope is passed through the mouth into the esophagus. A small opening is created in the inner lining of the esophagus, allowing the endoscopist to enter the submucosal space and create a tunnel toward the lower esophageal sphincter. The tight muscle fibres responsible for obstruction are then carefully divided. Once the myotomy is completed, the entry point is closed using endoscopic clips. Because the procedure is performed entirely through the mouth, no external surgical incision is required.
POEM may be considered for different types of achalasia, including patients who have persistent or recurrent symptoms after previous treatments such as pneumatic dilatation, botulinum toxin injection, or surgical myotomy. It can also be useful in selected patients with other esophageal motility disorders such as Esophagogastric Junction Outflow Obstruction (EGJOO) or spastic disorders, depending on clinical evaluation and diagnostic findings.
Before the procedure, patients are usually evaluated with tests such as upper GI endoscopy, barium swallow, and high-resolution esophageal manometry. These investigations help confirm the diagnosis, identify the type of achalasia, and determine the appropriate length of myotomy. In selected patients, technologies such as EndoFLIP may also be used to assess the functional opening of the esophagogastric junction and help tailor treatment.
After POEM, patients are generally monitored in the hospital and gradually started on liquids before progressing to a soft and then regular diet as advised. Some patients may develop gastroesophageal reflux after the procedure because the lower esophageal sphincter has been intentionally loosened. Follow-up, reflux assessment, dietary guidance, and acid-suppressing medication may therefore be advised when required.
The suitability of POEM depends on the patient's symptoms, manometry findings, previous treatment history, overall health, and other clinical factors. A detailed evaluation by an experienced gastroenterologist and interventional endoscopist is important to determine whether POEM is an appropriate treatment option and to discuss the expected benefits, limitations, and possible risks of the procedure.
Read experiences shared by patients who consulted Dr. Sanil Parekh for digestive and gastroenterology concerns.
Google Reviews
I had an exceptional experience with Dr. Sanil Parekh. His expertise was instrumental in addressing my persistent digestive issues. He conducted a comprehensive evaluation, explaining each step carefully and addressing all my concerns with patience and empathy. I highly recommended Dr. Sanil Parekh to anyone in need of gastroenterological care.
I had indigestion issues since last many years. I visited Dr. Sanil Parekh at his Dadar clinic for treatment. Dr. Sanil listened to all my issues patiently and recommended the medicines and diet. Since then I never had any problems related to indigestion, acidity etc. My sincere thanks to Dr. Sanil Parekh.
My spouse had acidity problems and I had severe constipation symptoms. We consulted Dr. Sanil Parekh at Lifeline Clinic. He was very approachable, heard us out patiently, understood the problem and took time to explain the treatment. His approach was refreshing and included practical diet changes.
Dr. Sanil Parekh is known as One Of Best Gastroenterologist in Parel.
Had an excellent experience with Dr. Sanil Parekh at Parel Hospital. He is highly knowledgeable, patient, and takes the time to explain the diagnosis clearly. The treatment provided was highly effective. Strongly recommend him for any stomach or digestive issues.
I came to Parel Hospital for fatty liver and stomach problems. Met Dr. Sanil Parekh Sir. After the treatment I am feeling much better now. Thanks to Sanil Sir for their guidance and support. He is very polite and explaining in very clear manner. I am fully satisfied with the treatment given to me. A very good experience with Dr. Sanil Parekh Sir.
I had suffered digestive problem. Dr. Sanil Parekh provided exceptional care from diagnosis to recovery. His attention to detail and genuine concern made all the difference. Now I am feeling much better. Thank you.
Had consulted Dr Parekh a couple of years back for severe GERD. My experience was that he took the time to listen and understand my symptoms which prior doctors had not done. For patients who are already suffering, finding the right doctor is a boon but finding one who leads with proficiency and empathy is rare - definitely recommend.
Best gastroenterologist in dadar. Excellent doctor! Dr. Sanil Parekh listened carefully and provided a highly effective treatment.
I had an exceptional experience with Dr. Sanil Parekh. His expertise was instrumental in addressing my persistent digestive issues. He conducted a comprehensive evaluation, explaining each step carefully and addressing all my concerns with patience and empathy. I highly recommended Dr. Sanil Parekh to anyone in need of gastroenterological care.
I had indigestion issues since last many years. I visited Dr. Sanil Parekh at his Dadar clinic for treatment. Dr. Sanil listened to all my issues patiently and recommended the medicines and diet. Since then I never had any problems related to indigestion, acidity etc. My sincere thanks to Dr. Sanil Parekh.
My spouse had acidity problems and I had severe constipation symptoms. We consulted Dr. Sanil Parekh at Lifeline Clinic. He was very approachable, heard us out patiently, understood the problem and took time to explain the treatment. His approach was refreshing and included practical diet changes.
Dr. Sanil Parekh is known as One Of Best Gastroenterologist in Parel.
Had an excellent experience with Dr. Sanil Parekh at Parel Hospital. He is highly knowledgeable, patient, and takes the time to explain the diagnosis clearly. The treatment provided was highly effective. Strongly recommend him for any stomach or digestive issues.
I came to Parel Hospital for fatty liver and stomach problems. Met Dr. Sanil Parekh Sir. After the treatment I am feeling much better now. Thanks to Sanil Sir for their guidance and support. He is very polite and explaining in very clear manner. I am fully satisfied with the treatment given to me. A very good experience with Dr. Sanil Parekh Sir.
I had suffered digestive problem. Dr. Sanil Parekh provided exceptional care from diagnosis to recovery. His attention to detail and genuine concern made all the difference. Now I am feeling much better. Thank you.
Had consulted Dr Parekh a couple of years back for severe GERD. My experience was that he took the time to listen and understand my symptoms which prior doctors had not done. For patients who are already suffering, finding the right doctor is a boon but finding one who leads with proficiency and empathy is rare - definitely recommend.
Best gastroenterologist in dadar. Excellent doctor! Dr. Sanil Parekh listened carefully and provided a highly effective treatment.
I came to Parel Hospital for fatty liver and stomach problems. Met Dr. Sanil Parekh Sir. After the treatment I am feeling much better now. Thanks to Sanil Sir for their guidance and support. He is very polite and explaining in very clear manner. I am fully satisfied with the treatment given to me. A very good experience with Dr. Sanil Parekh Sir.
I had suffered digestive problem. Dr. Sanil Parekh provided exceptional care from diagnosis to recovery. His attention to detail and genuine concern made all the difference. Now I am feeling much better. Thank you.
Had consulted Dr Parekh a couple of years back for severe GERD. My experience was that he took the time to listen and understand my symptoms which prior doctors had not done. For patients who are already suffering, finding the right doctor is a boon but finding one who leads with proficiency and empathy is rare - definitely recommend.
Best gastroenterologist in dadar. Excellent doctor! Dr. Sanil Parekh listened carefully and provided a highly effective treatment.
I had an exceptional experience with Dr. Sanil Parekh. His expertise was instrumental in addressing my persistent digestive issues. He conducted a comprehensive evaluation, explaining each step carefully and addressing all my concerns with patience and empathy. I highly recommended Dr. Sanil Parekh to anyone in need of gastroenterological care.
I had indigestion issues since last many years. I visited Dr. Sanil Parekh at his Dadar clinic for treatment. Dr. Sanil listened to all my issues patiently and recommended the medicines and diet. Since then I never had any problems related to indigestion, acidity etc. My sincere thanks to Dr. Sanil Parekh.
My spouse had acidity problems and I had severe constipation symptoms. We consulted Dr. Sanil Parekh at Lifeline Clinic. He was very approachable, heard us out patiently, understood the problem and took time to explain the treatment. His approach was refreshing and included practical diet changes.
Dr. Sanil Parekh is known as One Of Best Gastroenterologist in Parel.
Had an excellent experience with Dr. Sanil Parekh at Parel Hospital. He is highly knowledgeable, patient, and takes the time to explain the diagnosis clearly. The treatment provided was highly effective. Strongly recommend him for any stomach or digestive issues.
I came to Parel Hospital for fatty liver and stomach problems. Met Dr. Sanil Parekh Sir. After the treatment I am feeling much better now. Thanks to Sanil Sir for their guidance and support. He is very polite and explaining in very clear manner. I am fully satisfied with the treatment given to me. A very good experience with Dr. Sanil Parekh Sir.
I had suffered digestive problem. Dr. Sanil Parekh provided exceptional care from diagnosis to recovery. His attention to detail and genuine concern made all the difference. Now I am feeling much better. Thank you.
Had consulted Dr Parekh a couple of years back for severe GERD. My experience was that he took the time to listen and understand my symptoms which prior doctors had not done. For patients who are already suffering, finding the right doctor is a boon but finding one who leads with proficiency and empathy is rare - definitely recommend.
Best gastroenterologist in dadar. Excellent doctor! Dr. Sanil Parekh listened carefully and provided a highly effective treatment.
I had an exceptional experience with Dr. Sanil Parekh. His expertise was instrumental in addressing my persistent digestive issues. He conducted a comprehensive evaluation, explaining each step carefully and addressing all my concerns with patience and empathy. I highly recommended Dr. Sanil Parekh to anyone in need of gastroenterological care.
I had indigestion issues since last many years. I visited Dr. Sanil Parekh at his Dadar clinic for treatment. Dr. Sanil listened to all my issues patiently and recommended the medicines and diet. Since then I never had any problems related to indigestion, acidity etc. My sincere thanks to Dr. Sanil Parekh.
My spouse had acidity problems and I had severe constipation symptoms. We consulted Dr. Sanil Parekh at Lifeline Clinic. He was very approachable, heard us out patiently, understood the problem and took time to explain the treatment. His approach was refreshing and included practical diet changes.
Dr. Sanil Parekh is known as One Of Best Gastroenterologist in Parel.
Had an excellent experience with Dr. Sanil Parekh at Parel Hospital. He is highly knowledgeable, patient, and takes the time to explain the diagnosis clearly. The treatment provided was highly effective. Strongly recommend him for any stomach or digestive issues.
