Services

• Diagnostic Upper GI Endoscopy, Gastroscopy
• Diagnostic Lower GI Endoscopy, Colonoscopy
• Diagnostic Enteroscopy

Therapeutic Upper GI Endoscopy

• Esophageal Stricture Dilatation
• Esophageal Variceal Band Ligation
• Esophageal Polyp Removal
• Gastric Variceal Glue Injection
• APC for Gastric Telangiectasias
• Peptic Ulcer Disease Endoscopic Treatment
• Foreign Body Removal
• Percutaneous Endoscopic Gastrostomy
• Balloon Dilatation for Gastro Outlet Obstruction
• Esophageal Metal Stenting for Advanced Malignancy
• Gastric and Duodenal Stenting for Advanced Malignancy
• Endoscopic Bariatric Balloon Placement

Therapeutic Lower GI Endoscopy (Colonoscopy)

• Colonoscopic Polypectomy
• Colonic Balloon Dilatation
• Colonic Decompression for Colonic Psuedo Obstruction

Interventional ERCP

• Removal of Bile and Pancreatic Duct Stones
• Pancreatic and Bile Duct Stenting
• Intraductal Cholangio-Pancreatoscopy for Large Bile Duct and Pancreatic Duct Stones

Interventional EUS

• Diagnosis and staging of Malignancy, Tissue Diagnosis by FNAC / FNAB
• Pancreatic and Bile Duct Drainage
• Pancreatic Fluid Collection Drainage

Third Space Endoscopy

• POEM
• Endoscopic Mucosal Resection
• Endoscopic Submucosal Dissection

POEM

POEM (Peroral Endoscopic Myotomy) is a minimally invasive endoscopic procedure used to treat a swallowing disorder called Achalasia and other esophageal motility disorders. It combines advanced endoscopic techniques with the principles of surgical myotomy — all performed without external incisions.

In POEM, a flexible endoscope is inserted through the mouth into the esophagus. The inner lining of the esophagus is opened to access the underlying muscles. The tight or spastic muscles that are preventing food from passing into the stomach are then cut, allowing smoother passage of food and relief from symptoms.

Why is POEM done?

POEM is most commonly performed to treat:

• Achalasia (a condition where the lower esophageal sphincter fails to relax)
• Esophageal spasm
• Jackhammer esophagus
• Other non-relaxing or hypercontractile motility disorders

Benefits of POEM:

• No external cuts or scars
• Shorter hospital stay
• Faster recovery
• Highly effective and durable symptom relief
• Suitable for patients who have failed other treatments (like pneumatic dilation or Heller’s myotomy)

What to expect during the procedure:

• Performed under general anesthesia
• Duration: Usually 1 to 2 hours
• Most patients are discharged within 1–2 days
• A liquid diet is advised for a few days post-procedure, gradually progressing to solids

Is POEM safe?

Yes, POEM is considered a safe and effective alternative to traditional surgery. It is performed by trained gastroenterologists with expertise in advanced therapeutic endoscopy.

Aftercare:

• Patients are monitored for any signs of reflux or complications
• Medications may be prescribed to reduce acid reflux, which can be a side effect
• Regular follow-up and dietary guidance are provided

POEM represents a major advancement in the treatment of esophageal motility disorders, offering patients a less invasive option with excellent outcomes.