Peroral Endoscopic Myotomy (POEM Procedure)

Illustration of face and oesophageal region for Peroral Endoscopic Myotomy (POEM)

POEM procedures (Peroral Endoscopic Myotomy) are used to treat achalasia and other oesophageal disorders in patients when considered appropriate by our consultant Gastroenterologists.

What does the POEM Procedure involve?

The POEM procedure uses an endoscope and creates incisions in the oesophagus lining to pass the endoscope further past the stricture and releases muscle fibres to allow swallowing. The doctor will then use endoscopic clips to close all incisions.

To be eligible for this procedure, patients must have severe symptoms that have not responded to prior treatments including unable to swallow, weight loss, choking, chest pain, vomiting or constant food getting stuck.

Why is a POEM done?

POEM is used to treat conditions such as achalasia and other oesophageal disorders. This procedure is complex and can only be performed by a doctor with extensive experience and skills in specialised hospital facilities.

The objective is to relieve pressure or obstruction in the oesophagus using minimally invasive interventions. The advantage of a POEM procedure compared to other procedures is that longer incisions can be made if required and this could be more effective in controlling symptoms without doing a surgical procedure like Heller Myotomy.

How do I know if I need a POEM?

The doctor will talk to you extensively in consultation if this procedure is needed for your symptoms.

This procedure is not available through direct access from a GP referral. A consultant Gastroenterologist will make a consultation with you first to ensure that this is right for you.