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Cost of Peroral Endoscopic Myotomy (POEM) Worldwide

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POEM is performed to relieve swallowing difficulties caused by achalasia and other esophageal motility disorders. The esophagus becomes constricted due to tight muscles, and it is necessary to cut the tight muscle(s) so that food can pass through.

If you continue to have difficulty swallowing, experience regurgitation, have chest pain, or are losing weight, you should consult your physician to determine whether treatment options such as POEM are indicated.

Preparation for POEM includes: A liquid diet the day before your appointment, fasting prior to the procedure, discussing your medications (particularly if you take blood-thinner medications), and having your doctor perform a pre-operative evaluation.

The POEM procedure is performed under general anesthesia using endoscopy (a flexible scope introduced through the mouth). The doctor creates a small tunnel in the wall of your esophagus through which muscle fibres are cut at the lower esophageal sphincter. Cutting these muscle fibres relieves the constriction associated with achalasia.

Typically, POEM takes 1-3 hours. The procedure takes longer depending on the complexity.

  • Gastroesophageal reflux disease (GERD) post-procedure
  • Bleeding or infection
  • Esophageal perforation or tears
  • Pneumothorax or pneumomediastinum
  • Rare severe events requiring intervention

It includes minimally invasive procedures with no external incisions, effective relief of dysphagia, shorter hospital stay, quicker recovery, and fewer complications compared to traditional open surgery.

Patients are monitored closely after the procedure as they begin to recover from anesthesia. Patients typically spend one day in the recovery room; they are initially placed on a liquid diet and can advance to soft foods within a few days. Most patients return to normal activities within days to a few weeks. Follow-up care and dietary recommendations will be provided during this time.

POEM (Peroral Endoscopic Myotomy) for achalasia shows high success rates, generally ranging from 82% to over 95% for long-term symptom relief, though some variation exists depending on follow-up time and patient groups.

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Explore Hospitals ( 77 )
Peroral Endoscopic Myotomy (POEM) in Acibadem International Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

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.
Peroral Endoscopic Myotomy (POEM) in Bangkok Hospital: Costs, Top Doctors, and Reviews

Bangkok, Thailand

  • Joint Commission International, or JCI

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.
  • Biomolecule center that is the seed of healthcare equipment for Thailand and overseas.
  • 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.
Peroral Endoscopic Myotomy (POEM) in Asan Medical Centre: Costs, Top Doctors, and Reviews

Seoul, South Korea

  • ISO 9001

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
  • Everday 2,427 inpatients come to the Centre
  • 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
Peroral Endoscopic Myotomy (POEM) in BLK-Max Super Speciality Hospital: Costs, Top Doctors, and Reviews

Delhi, India

5.0 ( 1 Reviews )
  • Joint Commission International, or JCI
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

BLK-Max Super Speciality Hospital, located in New Delhi, is the leading best-in-class healthcare institution in India, providing tertiary and quaternary care. 650 + beds including 162 critical care beds, 22 OTs with 1,500+ clinical professionals allied to health are at the hospital's disposal. JCI, NABH, and NABL accredited. The hospitals are a leader in transplants, cancer care, and robotic surgery education and implementation. Established in1959 by Dr. B.L. Kapur, the hospital combines state-of-the-art technology with patient-centric values including compassion, efficiency, and consistency.

Peroral Endoscopic Myotomy (POEM) in Parkway Pantai: Costs, Top Doctors, and Reviews

Kuala Lumpur, Malaysia

  • Joint Commission International, or JCI

Parkway Pantai located in Kuala Lumpur, Malaysia is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Capacity of 335 beds
  • 200+ specialist Doctors
  • Critical Care Unit
  • Neonatal Intensive Care Unit
  • Operating Theatre
  • International Patient Care Center
  • Types of rooms available- Premier Suite, Supreme Suite, Deluxe Single Room, 2-bedded room, 4-bedded room, Deluxe Suite, Premier Single room, and Supreme Single room
Peroral Endoscopic Myotomy (POEM) in Memorial Ankara Hospital: Costs, Top Doctors, and Reviews

Ankara, Turkey

  • Joint Commission International, or JCI

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
Peroral Endoscopic Myotomy (POEM) in International St. Mary's Hospital: Costs, Top Doctors, and Reviews

Seoul, South Korea

  • Joint Commission International, or JCI

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
  • Korean Traditional Medicine Hospital
  • Hybrid Operation Theatres
  • Conference Rooms
  • Seminar Rooms
  • Auditorium
  • Intensive Care Units
  • Hospice ward
  • Chapel
  • Emergency Medical Center
  • Pathology
  • Outpatient Pharmacy
  • 15 Professional Treatment Centers
  • 35 Clinical Departments
  • Transplant Centers
  • Admission & Discharge Center
  • Counseling office
  • Convenience Store
  • Animal Laboratories
  • Parking in basement
  • Food court for patients & visitors
  • Coffee Shop
  • Free Wi-fi is available throughout the Hospital premises
Peroral Endoscopic Myotomy (POEM) in Bangpakok 9 International Hospital: Costs, Top Doctors, and Reviews

Bangkok, Thailand

  • Joint Commission International, or JCI

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
  • Dental Implants
  • Electrocardiogram (EKG or ECG)
  • Exercise Stress Test
  • Health Screening
  • Laser Vagina Firming
  • Pediatric Physical Therapy
  • Perfect Slim by Vela II
  • Physical Therapy for Musculoskeletal
  • Prosthodontics
  • 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
  • International health insurance related assistance
  • 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
  • 24 Hour Emergency Center
  • Allergy Center
  • Breast Center
  • bSmart Center
  • Checkup Center
  • Dental Center,
  • Happy Long Life Center
  • Medical Fitness Center
  • Psychiatric Center
  • Rehabilitation Center
  • Sleep Disorders Center
Peroral Endoscopic Myotomy (POEM) in Aster DM Healthcare: Costs, Top Doctors, and Reviews

Dubai, United Arab Emirates

1.0 ( 1 Reviews )
  • Joint Commission International, or JCI
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Aster DM Healthcare located in Dubai, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Aster Hospital Dubai has 114 bed capacity
  • Comprehensively fitted operating theaters are 5 in number
  • Intensive Care Units (ICU) are also 5 in number and they also include an Isolation unit, Neonatal Intensive Care Unit bed capacity is 8 with an Isolation unit present
  • Three kinds of rooms for all requirements such as twin sharing rooms, single rooms and VIP rooms
  • Mother and child friendly hospital with Labor room, delivery suites, and a Nursery
  • Unit dedicated to Day Surgery
  • Fully equipped Dialysis Unit
Peroral Endoscopic Myotomy (POEM) in Medanta - The Medicity: Costs, Top Doctors, and Reviews

Gurgaon, India

3.4 ( 1 Reviews )
  • Joint Commission International, or JCI
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Medanta – The Medicity, Gurugram, founded by renowned cardiac surgeon Dr. Naresh Trehan, is a leading multi-super speciality hospital offering advanced yet affordable healthcare. Spread across a 43-acre campus, it houses 1,391 beds, 270 ICU beds, 40 operation theatres, and 900+ doctors across 30+ specialities. Accredited by JCI, NABH, and NABL, Medanta is designed per American Institute of Architects’ healthcare guidelines. Recognised as the Best Private Hospital in India (2020–2025) and among the World’s Top 250 Hospitals (Newsweek 2024), it excels in Cardiac Care, Cancer, Neurosciences, Gastro, Orthopaedics, and Renal Care, ensuring world-class, collaborative, and compassionate treatment.

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Process Involved for Peroral Endoscopic Myotomy (POEM)

  • The Preoperative Evaluation: Before the procedure, the patient has an endoscopy, esophageal manometry, imaging, and bloodwork performed. It is recommended that the patient abstain from food and that medication be adjusted as needed before the procedure.
  • The Procedure: After the patient receives general anesthesia, the surgeon uses an endoscope that is passed through the mouth to make a tunnel in the esophagus. The surgeon will carefully cut the very tight muscle fibres of the esophagus to create an opening that allows the patient to swallow more easily.
  • Post-Procedure: The patient will be monitored for any complications and be placed on a liquid diet. After approximately three days, the patient will gradually progress to a soft diet.
  • Achalasia (all types)
  • Diffuse esophageal spasm
  • Jackhammer esophagus
  • Other esophageal motility disorders
  • Standard POEM
  • Extended POEM
  • Posterior or Anterior POEM
  • Patients diagnosed with achalasia or other esophageal motility disorders
  • Patients having persistent swallowing difficulty, regurgitation, or chest discomfort
  • No relief with medications or dilation
  • Upper GI endoscopy
  • Esophageal manometry
  • Barium swallow test
  • Endoscopic dilation (in selected cases)
  • Minimally invasive with no external incisions
  • Effective relief of dysphagia
  • Shorter hospital stay and quicker recovery
  • Fewer complications compared to traditional open surgery
  • Significant improvement in swallowing and reduced regurgitation
  • Long-term symptom relief is common, with better quality of life
  • Faster recovery compared to traditional surgery
  • Fill out the inquiry form: Fill out the form to provide us with the relevant information about your condition.
  • Consult with Our Healthcare Expert:One of our qualified specialists will contact you for a consultation
  • Receive a Detailed Treatment Plan:After examining your situation, we will provide you with a detailed treatment plan that includes expert views and cost breakdowns for various choices.
  • Choose your preferred option: Choose the treatment option that suits you the best.

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Frequently Asked Questions

Most patients begin feeling better within a few days after POEM, with many returning to normal daily activities within 7–10 days. Complete healing and symptom resolution may take up to 2–3 weeks, depending on individual health and the extent of the procedure.

In addition to the procedure cost, patients may incur:
  • Pre-treatment tests
  • Medications during recovery
  • Follow-up consultations
  • Generally speaking, the average length of stay in the hospital following a POEM procedure is short; typically one to three days. Once discharged, patients are monitored for complications, and are generally started on a regimen of liquids prior to discharge.

    Long term care following a POEM procedure requires continued adherence to a healthy dietary regimen, management of reflux symptoms and continued attendance of follow-up appointment schedules. Some patients may also require long-term use of an acid suppressing medication.

    With its advanced endoscopy practice, the facility has many qualified staff with experience in POEM treatment, and the equipment to perform POEM is widely available, offering patients the benefits of a complete recovery process with ongoing post-procedural support.

    Most patients will need to undergo a series of tests to confirm their diagnosis prior to POEM treatment. Common tests include an Esophageal Manometry, Barium Swallow, Chest X-Ray and a blood draw to screen for any underlying health conditions. These tests provide an overall assessment of the patient's suitability for surgery.

    Yes, POEM is a safe treatment for international patients because the hospitals that offer POEM are accredited. Additionally, many hospitals provide dedicated staff with experience treating international patients. The use of modern facilities and technology enables hospitals to maintain the highest level of safety and quality in performing POEM.

    POEM (Peroral Endoscopic Myotomy) for achalasia shows high success rates, generally ranging from 82% to over 95% for long-term symptom relief, though some variation exists depending on follow-up time and patient groups.

    Author

    Alvina Hasan

    M.Pharm

    1 Year of Experience

    Alvina Hasan is a dedicated medical researcher and scientific writer with a strong foundation in the pharmaceutical sciences. She holds a B.Pharm from Jamia Hamdard University and an M.Pharm in Quality Assurance from DIPSAR University. With deep medical expertise and a strong interest in healthcare communication, she focuses on transforming complex clinical and scientific information into clear, engaging, and easy-to-understand narratives. She develops insightful healthcare articles and research-driven pieces designed to support both medical professionals and patients, helping bridge the gap between advanced medical knowledge and practical understanding. . View More