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Cardiomyotomy is mostly used to treat achalasia, a disorder in which swallowing becomes difficult due to improper relaxation of the lower esophageal sphincter (LES). By severing the muscular fibers at the LES, the treatment facilitates easy passage of food into the stomach. It is used to alleviate symptoms such as Dysphagia, or difficulty swallowing, Pain in the chest, Food regurgitation, Loss of weight, Frequent coughing up aspiration.
A specialist should be consulted if you encounter persistent trouble swallowing liquids or solids, regurgitation, particularly at night, persistent coughing or instances of choking, unrelated to heart disease, chest pain, weight loss that is not explained. Early medical assessment aids in ruling out other illnesses and confirming the diagnosis.
Preparation usually includes complete medical history and physical assessment, diagnostic examinations like, upper gastrointestinal endoscopy, barium swallow test, manometry of the oesophagus, occasionally, pH monitoring or CT scans, regular blood tests and anaesthesia fitness assessment, instructions regarding, fasting (typically six to eight hours prior to operation), stopping blood thinners temporarily (if applicable), quitting alcohol and smoking prior to surgery.
The most common approach for doing cardiomyotomy is laparoscopic, in which the patient is given general anaesthesia and the abdomen is accessed through tiny keyhole incisions. In order to remove the obstruction and enhance swallowing, the surgeon carefully slices the tight muscle layer of the lower oesophagus and upper stomach. To lower the risk of reflux, a partial fundoplication is often carried out. The patient is then moved for monitoring and the wounds are sealed.
Depending on the patient's condition and the surgical technique, the procedure typically takes one to two hours.Particularly with laparoscopic surgery, hospital stays are typically short.
Cardiomyotomy is usually safe, although there are a few potential risks:
- Bleeding
- An infection
- Damage to the stomach or oesophagus
- Rare esophageal perforation
- GERD (gastric reflux disorder) following surgery
- Recurrent or persistent trouble swallowing
- Complications associated with anaesthesia
Major benefits include:
- Notable progress in swallowing
- Decreased instances of choking and regurgitation
- Weight gain and increased nutritional intake
- Improved living quality
- Long-term alleviation of symptoms
Included in recovery are:
- Hospital stay: typically two to four days
- Dietary progression:Liquids ,Soft diet ,regular diet progressively
- Antibiotics and pain management as needed
- In one to two weeks, resume your regular activities.
- Usually, full healing takes three to six weeks.
For the majority of patients, cardiomyotomy results are excellent. In 85–95% of instances, symptoms improve, particularly in centres with experience.
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Acibadem International Hospital
Istanbul, Turkey
Acibadem International Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- The Acibadem International Hospital is spread over an indoor area of atleast 19,000 square meters.
- It comprises as many as 122 beds which also means there are intensive care beds (26) with observation beds (16).
- Medical technologies are present such as Whole Body MR, DSA Digital Angiography, EUS (Endoultrasonography), and Ultrasonography.
- Additional services like Heliport, Prayer Room, Cafeteria, ATM within premises etc. can also be availed.
- Patients can choose from either a standard room or a suite during their hospital stay.
Burjeel Hospital for Advanced Surgery Dubai
Dubai, United Arab Emirates
4.5 ( 1 Reviews )
Burjeel Hospital for Advanced Surgery Dubai located in Dubai, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- 209 patient beds
- 14-bed capacity of Intensive Care Unit
- 64 Slice CT
- Neuro-navigation Surgical Systems
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- Burjeel Hospital for Advanced Surgery (BHAS) has as many as three operation rooms.
- Cutting edge non surgical as well as minimally invasive arthroscopic techniques are used.
- Customised treatment plans are used for the benefit of patients.
- Focus is on keeping the treatment process minimalist and only what is absolutely necessary and advanced procedures are done case to case basis.
- The patients natural joints are preserved to the extent possible and these include ligaments, cartilage and bones.
- The hospital helps with insurance for patients and complete support is provided for international patients.
- Online appointments are available and there is a 24/7 helpline.
Bangkok Hospital
Bangkok, Thailand
Bangkok Hospital located in Bangkok, Thailand is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- It is recognised for the application of the newest healthcare technology.
- Blood analysis center that is not just the best in Thailand but in Asia Pacific as well.
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- International affiliations and collaborations with universities and hospitals in Japan and the United States of America.
- 11 hospitals are recognised as Centers of Excellence.
- Known excellence in Trauma, Orthopedics, Cardiovascular, Neurology as well as Cancer Care.
- There is a proper streamlined patient services process followed in Bangkok Dusit Medical Services, Bangkok, Thailand.
- A well developed research center showcases the intent of the organisation to provide research based treatment opportunities to the patients.
- The group has several Medical industry partnerships as well to ensure healthcare solutions.
Asan Medical Centre
Seoul, South Korea
Asan Medical Centre located in Seoul, South Korea is accredited by ISO. Also listed below are some of the most prominent infrastructural details:
- 524,700 square meters is the floor area of Asan Medical Centre
- Number of beds is 2,715
- 67 operating rooms
- 11,680 outpatients
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- 66,838 Sophisticated surgeries (per year)
- 1,600 physicians and surgeons
- 3,100 nurses
- Five various types of rooms ranging from suites to multi-bed rooms
Kings College Hospital Dubai
Dubai, United Arab Emirates
Apart from in-detail treatment procedures available, Kings College Hospital Dubai located in Dubai, United Arab Emirates has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:
- 100 beds in the Hospital
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- Doctor on call (Telemedicine) is also available
Memorial Ankara Hospital
Ankara, Turkey
Memorial Ankara Hospital located in Ankara, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Covers an area of 42,000 sqm of closed area
- Capacity of 230 beds (60 intensive care units
- 11 Operating rooms
- 63 Polyclinics
- Technologies used by the Hospital are PET/CT, Endosonography-EUS, Elekta Versa HD Signature, etc.
- Besides the patient rooms and suites where any needs and luxuries of the patients and their relatives are considered, Memorial also has rooms for dissable patients, where all details are designed specially
International St. Mary's Hospital
Seoul, South Korea
International St. Mary's Hospital located in Seoul, South Korea is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- 3 Basements and 5 Floors Building
- International Healthcare Center
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Bangpakok 9 International Hospital
Bangkok, Thailand
Bangpakok 9 International Hospital located in Bangkok, Thailand is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- It would be prudent to summarise the Medical Services provided at the Bangpakok 9 International Hospital (BPK 9), Bangkok, Thailand:
- Cosmetic Dentistry
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- Exercise Stress Test
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- Perfect Slim by Vela II
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- The Medical Services are also inclusive of the International Patient Services such as the ones listed here:
- Thai, English, French, Arabic, Chinese, Myanmar, Cambodia, Bangladeshi, Bahasa and Tagalog are the languages in which there are Translation services available for International Patients.
- Visa extension related assistance
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- Embassy and international organizations related assistance
- A variety of meals of choice for International Patients
- Email consultation services
- Transfer to either airport and/or hotels
- Prayer room
- Four different types of rooms are available such as Deluxe room, two kinds of suites, and a VIP suite.
- Hospital facilities like The Coffee shop, Food Hall, Cafe and Medical Spa.
- Complete health and safety protocols are maintained in the various Medical Centers some of whom are as follows:
- Aesthetic Center
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NMC Royal Hospital Sharjah
Sharjah, United Arab Emirates
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NMC Royal Hospital Sharjah located in Sharjah, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- This is a multispecialty hospital with all the latest amenities and state of the art equipment.
- It has the best of doctors, surgeons, and allied healthcare professionals who are completely dedicated to patient care.
- It comprises the below mentioned smart healthcare facilities which make getting treated at this hospital a comfortable and satisfying experience for the patients.
- High-end operation theatre
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Phyathai 2 International Hospital
Bangkok, Thailand
Phyathai 2 International Hospital located in Bangkok, Thailand is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Fully equipped rooms are available for convenience of the patients- Gold B Room, Gold A Room, Pediatric Gold A, Platinum room, and Prestige ward
- Nearby accommodations are also available- Abloom Service Apartments, Bangkok Patio, VIB Best Western Sanam Pao, VIC3 Hotel
- Operating room
- International Patient Medical Center to assist overseas patients
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+99Process Involved for Cardiomyotomy
- Identification and verification of achalasia
- Fitness assessment and preoperative evaluation
- Operative cardiomyotomy
- Following surgery, nutrition planning and observation
- Monitoring and long-term reflux
- Achalasia cardia, the main sign
- Certain abnormalities of esophageal motility (rare cases)
Types include:
- Most frequently, laparoscopic Heller Myotomy
- Robotic cardiomyotomy
- Open cardiomyotomy (infrequent, specific instances)
The following might be required for care in {country}:
- A valid visa and passport
- Medical documents and reports (manometry/endoscopy reports)
- Anaesthesia and surgery consent forms
- Documents related to health insurance (if appropriate)
A person may qualify for a cardiomyotomy if they
- Have verified achalasia using barium swallow, endoscopy, and manometry.
- Have symptoms that don't go away with medicine or dilatation
- Are they medically suitable for surgery and anaesthesia
- Fundoplication in part (to lessen reflux)
- Endoscopy (diagnostic and intraoperative evaluation)
- Balloon dilatation (before or alternative therapy)
- Alleviation of difficulties swallowing
- Decreased regurgitation and chest pain
- Better nutrition and digestion
- Better quality sleep (reduced aspiration at night)
- Additionally, the majority of patients report feeling more at ease when eating and drinking.
- Aspiration-related issues are less likely when there is less food stasis in the oesophagus.
- Due to better food transit, many patients have fewer heartburn-like sensations.
- After symptoms are relieved, general well-being and energy levels frequently improve.
- Following cardiomyotomy, patients typically experience:
- Easy swallowing
- Improved appetite and stability of weight
- Decreased aspiration pneumonia recurrence
- Better day-to-day performance
- After surgery, symptoms typically get better over time as the oesophagus adjusts.
- Following the suggested recuperation period, patients can resume a nearly regular diet.
- Patients who were previously malnourished frequently experience weight gain and increased nutrition.
- Optimal healing and long-term symptom control are ensured by routine follow-up.
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