Dr. Vishwas Kaushik is a qualified medical professional holding an MBBS from the prestigious Belgorod State University, Russia, with a strong foundation in clinical medicine and healthcare practice. His comprehensive medical training has equipped him with a profound understanding of evidence-based clinical practices, patient-centered care, and the evolving landscape of modern medicine. With a keen interest in medical research and scientific communication, he consistently translates complex clinical concepts into clear, accurate, and accessible content for diverse audiences. His work reflects a deep commitment to advancing medical knowledge, delivering impactful healthcare insights, and bridging the gap between clinical expertise and accessible medical communication.

Reviewer

Dr. Ashish George

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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netcare Linksfield Hospital

Johannesburg, South Africa

319+ Beds · 123+ Procedures

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Lenmed Ethekwini Hospital and Heart Centre

Durban, South Africa

4.9 - 1 review · 353+ Beds · 188+ Procedures

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Process Involved for Peroral Endoscopic Myotomy (POEM) in South Africa

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.

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Achalasia (all types)
Diffuse esophageal spasm
Jackhammer esophagus
Other esophageal motility disorders

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Standard POEM
Extended POEM
Posterior or Anterior POEM

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Patients diagnosed with achalasia or other esophageal motility disorders
Patients having persistent swallowing difficulty, regurgitation, or chest discomfort
No relief with medications or dilation

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Upper GI endoscopy
Esophageal manometry
Barium swallow test
Endoscopic dilation (in selected cases)

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Minimally invasive with no external incisions
Effective relief of dysphagia
Shorter hospital stay and quicker recovery
Fewer complications compared to traditional open surgery

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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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