Doctors at Fortis Hospital treat rare Achalasia Cardia condition through unique POEM

Bangalore, June 10 2018: Doctors at Fortis Hospital, Cunningham Road treated a rare condition on a 38-year-old patient by performing a unique Peroral Endoscopic Myotomy (POEM) procedure here recently. The team of doctors was led by Dr Sreenivasa D, Chief Gastroenterologist, Fortis Hospital at Cunningham road in Bangalore.

Achalasia is a rare disease of the muscleof the lower esophageal body and the lower esophageal sphincter that preventsrelaxation of the sphincter and an absence of contractions, or peristalsis, ofthe esophagus. While its causes remain unknown, this condition degeneratesesophageal muscles affecting one’s ability to swallow, chest pain andregurgitation of food and liquids. The patient, Mr Ambareesh who works at a deaddiction centre approached the hospital after failing to get treatment inother hospitals. 

POEM is arelatively new procedure that uses endoscope (an instrument used to examine theinterior of an organ or cavity of the body) to make a tunnel into the foodpipe wall. An incision tool attached to the end of the endoscope cuts throughthe muscles at the bottom of the food pipe, that helps food pipe to relax. Thisenables food to move down without causing further trouble while swallowing. 

Explainingthe case, Dr Sreenivasa D, Chief Gastroenterologist, Fortis Hospital,Cunningham road said, Ambareesh had difficulty inswallowing the food since 6 months. The condition worsened in the last twoweeks, accompanied by nausea and vomiting. We advised him to undergo POEMprocedure as it would not create incisions in the chest or abdomen and includesa very short stay for the patient at the hospital. POEM is a much moreeffective and safe procedure for treating Achalasia, a swallowing disorder ascompared to traditional methods.”

 Talkingabout his condition Mr Ambareesh said, “I had hugedifficulty in eating and drinking since past 6 months. It was reallyembarrassing for me to eat along with my family as I used to puke every time Iwould eat. I am worker at de-addiction centre by profession and due to mycondition, it caused a lot of difficulty for me to talk and thus affected myprofessional life as well. I had no idea how to get over this. The doctorsand Fortis Hospitals Bangalore guided me well through the procedureand today, I am back to normal. It helped me recover fast and restart my life.”


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