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Peroral Endoscopic Myotomy (POEM) Cost in Israel

USD 5000 - USD 30000

Affordable World-class Treatment - Accredited Hospitals - Free Treatment Plan in 24 Hrs

2
Days in Hospital
1-2 hrs
Procedure Time
90 - 95%
Success Rate
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Estimated Treatment Cost
USD 5000 - USD 30000
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How Much Does Peroral Endoscopic Myotomy (POEM) Cost in Israel?

The cost of Peroral Endoscopic Myotomy (POEM) in Israel typically ranges between USD 11000 - USD 18000.

The cost of POEM may vary based on a number of different factors such as the hospital, the doctor’s expertise, pre-operation tests, how complicated and long the procedure takes, the anesthesia used, recovery time, etc.

Factors Affecting the Cost of Peroral Endoscopic Myotomy (POEM)

  • Disease Severity: Patients with advanced achalasia or previous esophageal surgeries may require more complex procedures, which can increase treatment costs.
  • Hospital and Facility Level: Advanced facilities (those equipped with the latest technology) typically charge higher prices than standard hospitals, owing to greater investment in infrastructure and higher-quality care.
  • Surgeon Experience: Highly skilled and trained Interventional Gastroenterologists are more likely to charge higher professional fees.
  • Preoperative Evaluation: Tests such as upper gastrointestinal endoscopy, high-resolution esophageal manometry, barium swallow study, blood investigations, and anesthesia assessment contribute to the overall treatment cost.
  • Anesthesia: POEM is performed under general anesthesia. More complex cases that require longer procedure times may increase the overall cost.
  • Post-Op Stay and Care: Although POEM typically requires only a short hospital stay (1–3 days), additional monitoring, treatment of complications, or prolonged hospitalisation can increase the overall cost.

Peroral Endoscopic Myotomy (POEM) is a procedure intended for achalasia and similar conditions which involves a minimally invasive endoscopy to cut the muscles of the lower esophageal sphincter. It helps relieve symptoms such as difficulty swallowing, chest pain, and regurgitation, and allows food to pass more easily into the stomach.

What's included in your Peroral Endoscopic Myotomy (POEM) quote?

Comprehensive tests and imaging
Upper GI endoscopy, high-resolution oesophagal manometry, Barium swallow, CT scan, Routine blood tests
Key: Gastroenterology specialist team
Observation, pain management, swallowing assessment, dietary progression, recovery monitoring
Hospital stay + ICU as needed
Pain management, nutritional support, pancreatic function monitoring, wound care, early mobilisation
Country stay monitoring
Clinical evaluation, swallowing assessment, dietary counselling, endoscopy, symptom monitoring
Visa & medical-visa invite letter
Airport pickup & transfers

Cost of Peroral Endoscopic Myotomy (POEM) in Major Cities of Israel

CityCost (USD)
Petah Tikva $11,000 – $18,000 Explore More
Ramat Gan $9,900 – $16,200 Explore More
Tel Aviv $11,000 – $18,000 Explore More

Peroral Endoscopic Myotomy Poem - Israel Vs the World

$2k - $4k
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Alvina Hasan
Author

M.Pharm

2 Year of Experience

Alvina Hasan is a dedicated medical researcher and scientific writer with a strong foundation in 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 content designed to support both medical professionals and patients, helping bridge the gap between advanced medical knowledge and practical understanding.

Readers can explore her published research and articles here:

https://carcinogenesis.com/index.php/JOC/article/view/868

https://carcinogenesis.com/index.php/JOC/article/view/870

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Dr. Ashish George
Reviewer

Gastroenterologist

18 Years of Experience

Last Reviewed - June 2026

Dr. Ashish George is one of the leading names in HPB surgery & liver transplantation and has about 18+ years of experience.He is a principal consultant & unit head of liver transplant at Fortis Shalimar Bagh.
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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.

90-95%

Successful relief of swallowing difficulties

2-3 days

Typical hospital stay

2-4weeks

Typical recovery with gradual return to normal daily activities
Explore Hospitals ( 5 )

Petah Tikva, Israel

1300+ Beds · 218+ Procedures
JCI
Starting
USD 22000

Ramat Gan, Israel

1900+ Beds · 210+ Procedures
JCI
Starting
USD 18000

Rehovot, Israel

1100+ Beds · 188+ Procedures
JCI

Tel Aviv, Israel

300+ Beds · 238+ Procedures
JCI
Starting
USD 5000

Tel Aviv, Israel

1500+ Beds · 214+ Procedures
JCI
Starting
USD 12000

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Process Involved for Peroral Endoscopic Myotomy (POEM) in Israel

  • 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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  • 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.
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Frequently Asked Questions

The cost of Peroral Endoscopic Myotomy (POEM) in Israel is USD 11000 - 18000, which varies depending on the hospital, endoscopist's expertise, severity and type of achalasia, diagnostic investigations, anaesthesia, hospital stay, and postoperative care. The total cost may include endoscopy, oesophageal manometry, imaging, blood tests, the POEM procedure, medications, hospitalisation, and follow-up consultations.

Some of the best hospitals in Israel for Peroral Endoscopic Myotomy (POEM) include:
  • Assuta Hospital
  • Kaplan Medical Centre
  • Rabin Medical Center
  • Sheba Medical Center
  • Tel Aviv Sourasky Medical Center -Ichilov Hospital
  • Choose an experienced interventional gastroenterologist or therapeutic endoscopist who regularly performs POEM and treats achalasia. Consider the doctor's experience with different achalasia subtypes, procedure volume, complication rates, and expertise in managing post-POEM reflux. The availability of advanced endoscopy equipment and multidisciplinary support can also be important.

    POEM has high clinical success rates, such as for relieving achalasia symptoms, although outcomes vary according to the type of achalasia, disease duration, previous treatment, and the experience of the treating centre.

    POEM is primarily used to treat achalasia, a disorder in which the lower oesophageal sphincter does not relax normally and the oesophagus has difficulty moving food into the stomach. Suitability is determined through clinical assessment, endoscopy, and usually high-resolution oesophageal manometry.

    Both procedures aim to reduce the abnormal muscle tightness at the lower oesophageal sphincter. POEM is performed endoscopically through the mouth without external surgical incisions, whereas Heller myotomy is performed surgically, usually through minimally invasive abdominal access. The most appropriate approach depends on the patient's condition and specialist assessment.

    Yes, POEM is generally performed under general anaesthesia. The patient is closely monitored throughout the procedure, and the endoscopy team uses specialised equipment to create the submucosal tunnel and divide the targeted muscle fibres safely.

    POEM provides durable symptom relief for many patients, but persistent or recurrent symptoms can occur. Recurrent symptoms may be related to incomplete myotomy, disease progression, or other factors. Further evaluation may include endoscopy, imaging, or manometry, and additional treatment may sometimes be required.

    Gastroesophageal reflux can occur after POEM because relaxing the lower oesophageal sphincter can make it easier for stomach contents to move back into the oesophagus. Patients may require acid-suppressing medication and follow-up evaluation. The treating specialist will determine whether ongoing reflux monitoring or treatment is necessary.

    POEM is performed using a flexible endoscope inserted through the mouth. The endoscopist creates a small mucosal entry, develops a submucosal tunnel, and cuts selected oesophageal muscle fibres to reduce resistance at the lower oesophageal sphincter. High-resolution oesophageal manometry, endoscopic ultrasound or imaging, advanced therapeutic endoscopy systems, and carbon-dioxide insufflation may be used during assessment and treatment.

    Potential complications include bleeding, infection, mucosal injury, pneumoperitoneum, pneumomediastinum, gas-related complications, and leakage. Gastroesophageal reflux is one of the more common longer-term concerns following POEM. Rarely, additional endoscopic, radiological, or surgical treatment may be required. The individual risk depends on the patient's condition and the complexity of the procedure.

    Patients should share their endoscopy reports, oesophageal manometry results, barium swallow or other imaging, previous treatment records, medication list, and relevant medical history with the treating centre. The doctor will provide specific fasting instructions before the procedure. Patients may also need to modify certain medications, particularly medicines that affect bleeding, under medical supervision.

    Yes. International patients can generally arrange an online consultation with an experienced gastroenterologist or therapeutic endoscopist before travelling to Israel. The specialist can review previous investigations, assess whether POEM is appropriate, identify additional tests required, and discuss the expected procedure, hospital stay, recovery, and estimated treatment cost.

    Patients should carry their passport, endoscopy reports, oesophageal manometry results, barium swallow or other imaging reports, previous treatment records, discharge summaries, blood-test results, medication list, allergy information, and relevant medical history. Digital copies of important medical records should also be kept for easy access during consultations.

    POEM usually requires a short hospital stay, often around 1-3 days when recovery is uncomplicated. International patients may need to remain in Israel for several additional days after discharge for medical review and to ensure they are fit to travel. The exact duration depends on the patient's recovery and the treating specialist's recommendations.

    Recovery after POEM is generally faster than after conventional surgical myotomy. Patients usually begin with a liquid or modified diet and gradually progress according to medical advice. Many patients can resume light daily activities within several days, although complete recovery and dietary adjustment may take longer.

    The treating team will assess the complication and provide appropriate management. Depending on its nature, treatment may include antibiotics, intravenous fluids, endoscopic intervention, drainage, nutritional support, or additional surgery. Patients who develop severe chest or abdominal pain, fever, breathing difficulty, persistent vomiting, bleeding, or difficulty swallowing after discharge should seek urgent medical attention.

    International patients can begin by submitting their medical records, endoscopy reports, manometry results, imaging, and previous treatment history for specialist evaluation through the MediGence platform. After the doctor confirms the treatment plan, the hospital can provide an estimated treatment cost and schedule. Patients can then coordinate admission, travel, accommodation, visa requirements, and international-patient support.

    Israel may provide access to experienced therapeutic endoscopists, advanced endoscopy centres, modern diagnostic facilities, minimally invasive treatment options, and multidisciplinary gastroenterology services. International patients should compare centres based on their experience with POEM, achalasia management, complication management, technology, hospital infrastructure, and postoperative follow-up rather than considering cost alone.

    Treatment for achalasia is selected according to the patient's symptoms, achalasia subtype, oesophageal anatomy, previous treatment, and overall health. Options may include medications, botulinum toxin injection, pneumatic dilation, laparoscopic Heller myotomy, and POEM. POEM may be particularly useful for patients who require definitive muscle-relaxing treatment and for selected patients with different achalasia subtypes.

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