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Cost of Peroral Endoscopic Myotomy (POEM) in Major cities of India

City	Minimum Cost (USD)	Minimum Cost (INR)	Maximum Cost (USD)	Maximum Cost (INR)
Bangalore	USD 1800	167796	USD 4000	372880
Chennai	USD 1800	167796	USD 4000	372880
Delhi	USD 1800	167796	USD 4000	372880
Faridabad	USD 1800	167796	USD 4000	372880
Gurgaon	USD 1800	167796	USD 4000	372880
Kochi	USD 1800	167796	USD 4000	372880
Noida	USD 1800	167796	USD 4000	372880
Pune	USD 1620	151016	USD 3600	335592

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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 ( 1 )

MGM Healthcare

Chennai, India

There are a wide variety of healthcare facilities and specialized, targeted treatments provided by MGM HealthCare. Some of its most prominent services are listed below:

Institute of Heart and Lung Transplant and Mechanical Circulatory Support: Well renowned for having the third-highest number of heart transplants in a year (102) and also the successful completion of several other transplant surgeries and cardiac surgeries.

Cardiac Sciences: They offer a variety of screening tests and facilities including Tilt Table Test, Coronary Angioplasty and Stenting, CT Angiography, Coronary Artery Bypass Grafting, Stress Echocardiogram, Cardiac Stress Test and Cardiac Catheterisation.

Obstetrics and Gynaecology: They provide all services to ensure a woman’s well-being. Some of the services offered are Menstrual Cramps Treatment, Colposcopy, Myomectomy, Vaginal Hysterectomy, Breastfeeding Support, Ovarian Cyst Removal, Menopause Management, Vaginal Birth After Caesarean (VBAC), and Menorrhagia Treatment.

Orthopedics: Bilateral Knee Replacement, Total hip Replacement, and Knee Arthroscopy are all the procedures that are offered in this department.

Liver Transplantation: An exceptionally skilled team of professionals who have performed over 4,000 liver transplant surgeries and an operation theatre and ICU specifically dedicated to HBP surgery is available at the patient’s disposal.

Emergency Medicine: MGM Healthcare has a fully functioning facility dedicated to emergency medicine that operates 24 hours a day and 7 days a week.

Oncology: The patients will be in the safe hands of well-trained medical personnel qualified in the field of oncology and specialize in procedures like Bowel resection surgery, Biopsy, Lumpectomy, Liver Resection Surgery, Lung Cancer resection surgery, Lymph Node Surgery, and Laparoscopic Prostatectomy. They also provide cancer treatments like Chemotherapy, Immunotherapy, and Targeted Therapy.

Anaesthesiology and SICU: They specialize in the field of local, general and regional anesthesia and work to assist doctors during surgical procedures.

Neurosciences and Spine: The doctors in this department handle difficult procedures like Brain Tumour Surgery, Spine Reconstructive Surgery, Neuro Surgeries, and Spine Surgeries with the utmost ease and professionalism. They also have a specific area dedicated to Neuroanaesthesia and NeuroCritical Care.

Do visit the environment-friendly medical facility in Chennai and experience medical excellence.

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Process Involved for Peroral Endoscopic Myotomy (POEM) in Chennai

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

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Other Popular Countries for Peroral Endoscopic Myotomy (POEM)

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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.

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

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Peroral Endoscopic Myotomy (POEM) Cost in Chennai