Safe & Minimally Invasive POEM Procedure
Peroral Endoscopic Myotomy (POEM) Procedure in Mumbai
What Is Peroral Endoscopic Myotomy (POEM)?
Peroral Endoscopic Myotomy (POEM) is a modern, minimally invasive endoscopic procedure. used to treat achalasia which is a rare disorder where the esophagus has difficulty moving food into the stomach due to tight or weak muscles. Unlike traditional surgery, POEM does not require external incisions, leading to quicker recovery and less discomfort.
POEM offers lasting relief for swallowing difficulties and significantly improves quality of life.
Minimally invasive with no external scars
Provides long‑term relief from swallowing problems


When Is POEM Done?
- Difficulty swallowing (Dysphagia) that progressively worsens over time.
- Regurgitation of food or liquids due to poor esophageal emptying.
- Chest pain or discomfort related to esophageal spasms.
- Failure of other treatments, such as medications or pneumatic dilation, to provide lasting relief.
When Is POEM Done?

- Difficulty swallowing (Dysphagia) that progressively worsens over time.
- Regurgitation of food or liquids due to poor esophageal emptying.
- Chest pain or discomfort related to esophageal spasms.
- Failure of other treatments, such as medications or pneumatic dilation, to provide lasting relief.
What Happens During the Procedure of POEM?
Anesthesia for Comfort
The patient is placed under general anesthesia to ensure a painless and comfortable experience.
Endoscope Insertion
A flexible endoscope is passed through the mouth into the esophagus to provide a clear internal view.
Submucosal Tunnel Creation
The doctor carefully makes a small cut inside the esophageal lining and creates a tunnel to reach the inner muscle layer.
Cutting the Tight Muscles
The tight lower esophageal muscles are gently cut to allow smoother passage of food and liquids into the stomach.
Effective, scar‑free relief
POEM restores swallowing function with no external cuts, reduced pain, and faster recovery compared to traditional surgery.

Achalasia
The most common reason for POEM, where the lower esophageal sphincter fails to relax properly, making swallowing very difficult.

Esophageal Spasms
Abnormal, uncoordinated contractions of the esophagus that cause chest pain and swallowing issues.

Jackhammer Esophagus
A condition marked by extremely strong, painful contractions of the esophagus. POEM helps reduce symptoms.

Other Rare Esophageal Motility Disorders
Conditions where the esophagus cannot properly move food into the stomach, requiring advanced treatment.
Why Choose Dr. Shankar Zanwar for POEM?
Dr. Shankar Zanwar, Consultant Gastroenterologist and advanced endoscopist, is highly experienced in performing POEM with precision and safety. He is known for his expertise in complex endoscopic procedures and patient‑centered approach. Here’s why you should choose him:
Expert in Advanced Endoscopy
Specializes in performing complex procedures like POEM with excellent outcomes.
Comprehensive Esophageal Care
Provides accurate diagnosis, procedure planning, and long‑term follow‑up for esophageal disorders.
Minimally Invasive
Expertise
Ensures maximum patient comfort through modern, scar‑free endoscopic techniques.

Mild sore throat or chest discomfort for a day or two, which gradually resolves.

Short hospital stay, with most patients discharged within 1-2 days.

Gradual diet progression, starting with liquids and moving to soft foods before returning to a normal diet.

Regular follow‑ups to monitor healing and ensure long‑term relief from symptoms.
What to Expect After the Procedure?
Most patients recover quickly after POEM and experience noticeable relief. You may expect:

Say goodbye to swallowing struggles.
Book your POEM consultation with Dr. Shankar Zanwar today and experience lasting relief.
Don’t let swallowing difficulties affect your life. Consult a gastroenterologist today to explore the benefits of POEM and regain comfort.