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Cost of Peroral Endoscopic Myotomy (POEM) in Major cities of Israel
| City | Minimum Cost (USD) | Minimum Cost (ILS) | Maximum Cost (USD) | Maximum Cost (ILS) |
|---|---|---|---|---|
| Petah Tikva | USD 11000 | 34650 | USD 18000 | 56700 |
| Ramat Gan | USD 9900 | 31185 | USD 16200 | 51030 |
| Tel Aviv | USD 11000 | 34650 | USD 18000 | 56700 |
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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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Rabin Medical Center
Petah Tikva, Israel
Rabin Medical Center located in Petah Tikva, Israel is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- There are as many as 6 intensive care departments at the center.
- The hospital has been able to treat and manage complex heart conditions by exceptional cardiologists.
- The Emergency care services of the hospital have also helped a large number of patients.
- The Cardiothoracic Center is also worth mentioning for the care it has provided to patients.
- The hospital is also recognised for its organ transplantation facilities with 70% of organ transplants in Israel done in Beilinson Hospital.
- Bone Marrow transplants performed at the Davidoff Cancer Research and Treatment Center have been a boon for many patients.
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+99Process Involved for Peroral Endoscopic Myotomy (POEM) in Petah Tikva
- 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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