Patient with Rare “Swallowing Disorder” gets Life Changing “POEM” Procedure…

Patient with Rare“Swallowing Disorder” gets Life Changing “POEM” Procedure by Dubai Based Gastroenterologist

  • Young lady undergoes rare endoscopic surgery at Al Zahra Hospital Dubai after years of suffering from undiagnosed Achlasia Cardia
  • Perooral Endoscopic Myotomy (POEM) was performed for the first time by Dubai Based Gastroenterologist to fix “Swallowing Disorder”

Dubai, July 5th 2022 – A 26 year old Indian lady found relief at Al Zahra Hospital Dubai after years of struggling with inability to properly swallow food or liquids. Ms.Shrinidhi first started experiencing symptoms 3 years prior, constantly complaining of chest pain, coughing, weight loss and feeling like food was getting stuck in her food pipe. After visiting many doctors and undergoing several tests, Ms. Srinidhi lost hope after receiving different diagnosis and treatments that did not seem to help her with her problem.

“It got really bad. We do not realize how important it is to be able to swallow foods or liquids. It impacts your quality of life tremendously. The coughing and chest pain got so bad that I would prefer not eating, which in turn depleted me of necessary nutrients that help maintain a healthy body.  I was constantly anxious, avoided social settings, an just could not figure out what was wrong with me”—patient  Shrinidhi at al Zahra Hospital Dubai

In June 2022, after extensive research, MrsSrinidhi came to see Dr. Gaurav Muktesh, a highly experienced Gastroenterologist, and Interventional Endoscopist at Al Zahra Hospital Dubai, who after corroborating the patient’s medicalhistory, endoscopy, esophageal manometry and barium aidedx-rays,diagnosed her with a rare swallowing condition that affects 1 in 100,000 people worldwide.

Ms. Srinidhiwas diagnosed to be suffering of Achalasia Cardia, a swallowing disorder in which the pressure of the sphincter muscle controlling the passage of food from the food pipe toshestomach gets elevated. It is coupled with inability of the muscles in the foodpipe to contract effectively to push the food down into the stomach.

“In Achlasia Cardia, the food pipe can get hugely dilated and tortuous. This leads to difficulty in swallowing, chest pain, weight loss, nutritional deficiencies, and aspiration of food contents into thewindpipe resulting in cough and lung infections. Some studies suggest that patients with untreated achalasia may also have a higher risk of esophageal cancer.” – Dr. Gaurav Muktesh, Specialist Gastroenterologist at Al Zahra Hospital Dubai

Under the care of Dr. Gaurav, who is one of the very few Gastroenterologists in the UAE to be trained and skilled to perform the latest advanced endoscopic procedure to treat this illness, MrsSrinidhiunderwent a successful peroral endoscopic myotomy (POEM) procedure. This is an endoscopic surgery involving dividing the muscle fibers and releasing the pressures of the food pipe and the tight muscle at lower end of food pipe (sphincter) to facilitate easy entry of food into stomach. POEMPerooralEndoscopic Myotomy, includes the benefit of surgery without inducing scars externally on the body.The success rate of this procedure is more than 90%.

“Due to the rarity of the condition and lack of awareness, patients tend to suffer for years,often being misdiagnosed or not receiving the right level of care.Very few doctors around the world are trained to carry out this needed procedure. The POEM procedure has transformed the lives of thousands of patients suffering from achalasia across the world. We are proud to be the leaders in the region proving this latest, external incisionless endoscopic treatment option to patients suffering with this disorder” – Dr. Gaurav Muktesh

Very soon after the surgery the patient started accepting liquids that moved smoothly through the food pipe into the stomach. Within a few days post-surgery, she began eating normally withoutexperiencing any of the symptoms she had been suffering from for years. MrsShrinidhi feels that POEM procedure was indeed a life changing event for her.


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