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Cost of Peroral Endoscopic Myotomy (POEM) in Major cities of Spain
| City | Minimum Cost (USD) | Minimum Cost (EUR) | Maximum Cost (USD) | Maximum Cost (EUR) |
|---|---|---|---|---|
| Barcelona | USD 8500 | 7395 | USD 15000 | 13050 |
| Madrid | USD 8500 | 7395 | USD 15000 | 13050 |
| Marbella | USD 7650 | 6656 | USD 13500 | 11745 |
| Torrevieja | USD 7650 | 6656 | USD 13500 | 11745 |
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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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Quironsalud Marbella Hospital
Marbella, Spain
Apart from in-detail treatment procedures available, Quironsalud Marbella Hospital located in Marbella, Spain has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:
- The hospital is present in an area of 10.500 square meters.
- A 24- hour emergency service for all kinds of emergency scenarios, even pediatric.
- There is a specialised radiology department as well as a hemodialysis unit.
- The hospital also consists of an Intensive Care Unit with a laboratory.
- Also present are a functional test area with physiotherapy services in addition to functional recovery.
- Wide network of Insurance partners both national and international.
- A professionally managed international patient care center.
- There are more than 25 medical specialties
- The number of rooms are: 65 plus private rooms, over 14 consultation rooms.
- There are also more than 5 operation theatres with 2 endoscopy rooms
- Ultrasound, MRI, CAT scan are also present as per needs and requirements.
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+99Process Involved for Peroral Endoscopic Myotomy (POEM) in Marbella
- 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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