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POEM is a therapeutic endoscopic procedure performed in the endoscopy unit at our hospital. Our doctors use high-definition upper endoscopes to perform the procedure. POEM takes approximately two to three hours, and you are expected to stay in the hospital for an average of two days for monitoring and to receive intravenous antibiotics.
Our doctors perform POEM to treat the following disease:
The same determination that makes Chris a competitive triathlete, drove him to research treatment options for his rare digestive disorder - achalasia. His search for solutions brought him to Dr. Mouen Khashab of Johns Hopkins Hospital who is performing a pioneering endoscopic procedure.
Before your procedure, you will need to follow specific preparation instructions. Your doctor will discuss them with you in detail. Preparation instructions are as follows:
On the day of the procedure, arrive three hours before your POEM is scheduled to start. When you arrive, you will register and give your medical history.
Once the procedure is finished, you will need to recover from the anesthesia in the endoscopy unit. Your doctor will discuss the procedure with you. Then you will be admitted to the hospital for monitoring and antibiotics. You will keep fasting on the night of the procedure.
You will receive an X-ray (barium swallow) the following morning and you will be permitted to drink liquids if the test comes back OK. You will advance to a soft diet the following day and will be discharged afterward.
Mouen Khashab, MD, Assistant Professor of Medicine and Director of Therapeutic Endoscopy, Johns Hopkins Gastroenterology & Hepatology, discusses Peroral Endoscopic Myotomy (POEM) - how it is performed, who is eligible for the procedure, expected outcomes and the key benefits.