Achalasia and other oesophageal motility abnormalities can be treated with the innovative minimally invasive procedure known as peroral endoscopic myotomy (POEM). Although it is a preferred option due to its efficacy and patient-friendliness, knowing what to anticipate prior to, during, and following the operation can significantly improve the entire experience and result. This guide provides thorough information on how to be prepared for POEM, what to expect during the treatment, and crucial recovery advice to enable patients to confidently resume their regular activities.
Preparing for the POEM procedure
Dietary adjustments
To make sure the oesophagus is clear of food, patients are usually instructed to consume only liquids for one to two days before the treatment. It is often advised to follow a clear liquid diet that consists of water, broths, and pulp-free juices. Additionally, you might be told to fast for a specific amount of time, usually beginning the evening before the surgery.
Medication review
Let your doctor know if you take any supplements or drugs. Nonsteroidal anti-inflammatory medicines (NSAIDs), blood thinners, and certain supplements that raise the risk of bleeding may need to be temporarily stopped. Since smoking can affect the healing process, it’s best to stop or drastically cut back on your smoking for a while too, both before and after the procedure.
Pre-procedural tests
Tests including endoscopy, barium swallow, and oesophageal manometry may be performed to evaluate the health of your oesophagus and confirm the diagnosis. The medical staff can better design the procedure with the help of these tests.
During the POEM procedure
The treatment, which is carried out under general anaesthesia for maximum comfort, uses an endoscope, which is a flexible tube with a camera that is sent into the oesophagus through the mouth. To relieve symptoms like trouble swallowing, the surgeon skilfully divides the muscles causing the motility issue by making a tiny incision in the inner lining of the oesophagus. POEM is a minimally invasive procedure that takes roughly 60 to 90 minutes, requires no external incisions, and lowers the risk of pain, scarring, and infection. Following the treatment, patients are closely watched as they recover and are usually discharged in 24 to 48 hours, guaranteeing a positive experience.
After the POEM procedure – Recovery and care
Immediate recovery
You could be limited to clear beverages for the first 24 to 48 hours. As your oesophagus heals, your doctor will gradually help you resume soft foods and then solid foods. It’s common to initially feel bloated or have moderate throat soreness, but these symptoms usually go away quickly.
Dietary recommendations
After the procedure, follow a soft diet for the first week or two. Steer clear of acidic, spicy, or difficult-to-digest foods while you’re recovering. You can avoid discomfort and ease the strain on your digestive system by taking small, frequent meals.
Activity levels
After the treatment, you can quickly return to light activities, but it’s better to stay away from hard lifting and intense exercise for at least a week. Consult your doctor and pay attention to your body before starting high-intensity exercises again.
Follow-up care
It’s essential to schedule routine follow-up visits with your doctor to track your progress and handle any possible issues. To make sure the oesophagus is healing appropriately, your doctor could suggest more testing, including an endoscopy.
Long-term care
Even though POEM offers long-lasting relief, it’s crucial to lead a healthy lifestyle. The benefits of the surgery can be maintained by adopting a balanced diet, drinking enough water, and abstaining from bad habits like smoking. Keep an eye out for any reoccurring symptoms and notify your doctor right away.
For those with oesophageal motility abnormalities, POEM is a game-changer, providing a minimally invasive, efficient, and patient-friendly therapeutic alternative. Patients can approach the journey with clarity and confidence if they are aware of the preparation processes, the procedure itself, and the recuperation period. Mission Gastro specializes in POEM treatment in Ahmedabad, offering sympathetic care and knowledgeable direction at every turn. The staff is committed to helping you on your journey to better health and a higher standard of living, whether you’re getting ready for your procedure or managing the recovery period after treatment.
