ENDOSCOPY PROCEDURES · PATIENT EDUCATION
POEMexplained plainly.
POEM is an advanced, incision-less endoscopic procedure that treats achalasia and related swallowing disorders by releasing the tight muscle at the lower end of the food pipe — restoring normal swallowing with no external cuts.
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DWARIKA HOSPITAL PATIENT EDUCATION
- 3.
- Sections in this guide
- 1.
- Related guides & articles
POEM (Per-Oral Endoscopic Myotomy)
in plain language.
Written for patients and families, reviewed by the surgeons who treat it.
- WHAT
- Incision-less endoscopic surgery for swallowing disorders
- TREATS
- Achalasia and spastic esophageal disorders
- BENEFIT
- Restores swallowing with no skin incisions
- COMFORT
- Performed endoscopically under general anaesthesia
What is POEM?
POEM (per-oral endoscopic myotomy) is a modern endoscopic operation performed entirely through the mouth, with no external incisions. It treats achalasia — a condition where the muscle at the lower end of the food pipe fails to relax — by carefully dividing that muscle from the inside to let food pass normally.
When it is used
POEM is used for achalasia and certain other spastic disorders of the esophagus that cause difficulty swallowing, regurgitation of undigested food, chest discomfort and weight loss. It offers an effective, minimally invasive alternative to traditional surgery.
What to expect
The procedure is performed under general anaesthesia and typically takes about 1–2 hours. Patients are usually observed in hospital for a short stay, then progress through a staged diet as swallowing improves, with most returning to normal activity quickly.
This guide was originally published by Dr. Avinash Tank in his medical-education library.Read “POEM (Per-Oral Endoscopic Myotomy)” on dravinashtank.in
Understand
the bigger picture.
Choose a question. Each answer comes from our patient-education library.
This overview was originally published by Dr. Avinash Tank in his medical-education library.Esophagus (Food Pipe): the full overview
A patient like you.
What happened next.
A documented case from our surgical team — anonymised, and told as it happened. Every patient is different; your own plan is made after your consultation.
DOCUMENTED CASE · COLONOSCOPY & POLYPECTOMY
Polyp to Prevention: How a Colonoscopy Stopped a Cancer
1BEFORE TREATMENT
A patient in their 50s with a family history of colon cancer and subtle change in bowel habit, anxious about screening.
2TREATMENT
The polyp was lifted and excised endoscopically in full, with clear margins, during the same colonoscopy.
3AFTER TREATMENT
Pathology confirmed a pre-cancerous lesion removed completely — a cancer prevented. A surveillance schedule was set so any future polyps are caught equally early.
Outcomes vary between patients. These accounts describe individual experiences, not a guaranteed result.
Learn more about
poem.
Doctor-written guides from Dr. Avinash Tank's medical-education library — understand the condition before you decide on treatment.
These articles live on dravinashtank.in, Dr. Avinash Tank's own site, and open in a new tab.
POEM,
explained on film.
Surgeon explainers, patient stories and operations from the hospital's own channel.
Been advised an
endoscopy or colonoscopy?
We will explain what the test involves, how to prepare and what it can find — most are day-care procedures.
Aboutpoem
POEM treats achalasia and related spastic swallowing disorders by releasing the tight lower esophageal muscle that blocks food from passing.
Before you
come in.
Insurance, your stay, recovery and travel — the practical questions every patient asks.
Four promises.
One standard.
What every patient can expect here — from the first call to the last follow-up.
01.
Super-specialist led
Surgery here is performed by MCh-qualified surgical gastroenterologists, not general surgeons operating outside their specialty.
02.
Keyhole by default
Laparoscopic and scarless techniques are the standard approach, reserving open surgery for cases that genuinely need it.
03.
One team, one plan
Diagnosis, surgery, nutrition and follow-up sit under one roof — you are not handed between disconnected clinics.
04.
Counselling before consent
Every patient is told what the operation can and cannot achieve, with costs stated upfront, before anything is scheduled.

Closer than
you think.
409–418, 4th Floor, Gamara Capital, Beside AUDA Garden, Near Civic Center, Opp. Samanvay Residency / Safal Parisar 2, South Bopal, Ahmedabad, Gujarat 380058
24×7 — round-the-clock emergency & inpatient care
Patients travel to us from South Bopal, Bopal, Shela, Ghuma, Sanathal, Prahlad Nagar, Satellite, Jodhpur and across Gujarat — Gandhinagar, Surat, Vadodara, Rajkot.
Your next chapter.
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