Peroral Endoscopic Myotomy (POEM) Offered at Mercy in Baltimore

Dr. Bryan Curtin - Digestive Health & Liver Disease - Mercy Medical Center - Baltimore

The doctors at The Melissa L. Posner Institute for Digestive Health and Liver Disease at Mercy offer innovative treatment options for esophageal disorders. The Institute’s doctors are skilled at performing Peroral Endoscopic Myotomy (POEM) – a leading edge treatment option for achalasia, a condition caused by a malfunction of the muscle located between the esophagus and stomach.

What is Peroral Endoscopic Myotomy (POEM)?

Peroral Endoscopic Myotomy (POEM) is an upper endoscopy procedure used to treat achalasia – an esophageal disorder. POEM helps to reduce pressure on the esophagus, allowing food to pass through more easily.

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How is Peroral Endoscopic Myotomy (POEM) performed?

The POEM procedure is performed using an endoscope which consists of a narrow tube with a light, camera and other instruments. During the procedure, the endoscope is placed down the throat and used to create an incision in the esophagus. Through that incision, the doctor cuts a section of the lower esophageal muscle. The incision is closed before the endoscope is removed at the end of the procedure.

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When is Peroral Endoscopic Myotomy (POEM) recommended?

POEM is typically recommended for patients who have been diagnosed with achalasia following an endoscopy, barium swallow test or manometry.

POEM is less invasive than some other achalasia treatments and may be used as an alternative to laparoscopic Heller myotomy or other types of surgery. POEM also may be recommended for patients who did not have success with other treatments.

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