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Cost of Peroral Endoscopic Myotomy (POEM) Worldwide

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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 ( 77 )
Peroral Endoscopic Myotomy (POEM) in Acibadem University Hospital Atakent: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

Acibadem University Hospital Atakent located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Spread over an area of 60,000 square meters
  • It has 300 wards with 8 operating rooms
  • It has an inpatient treatment capacity of 278
  • Intensive care unit bed capacity is of 29 beds
  • The healthcare organisation has several kinds of infrastructure for services such as free parking, cafeteria, Wi-Fi, hairdressing salon, ATM, ergonomic hospital beds, and prayer rooms.
  • The hospital has both standard single rooms and double rooms (24 in number) for the patients.
  • The hospital wards are also equipped with metal handrails, emergency cords, and call buttons for patients with mobility issues.
  • The latest medical technology is present here to treat patients such as MR-LINAC linear accelerator, The da Vinci robot, and TrueBeam Linear Accelerator.
  • The diagnostic department of the hospital has the following equipments:
  • MRI 3 Tesla
  • Full-body MRI
  • Spect CT
  • Flash-CT
  • Ductoscopy (early diagnosis of breast duct cancer)
  • DSA digital angiography
  • Endoultrasonography (EUS)
  • Ultrasonic echography
Peroral Endoscopic Myotomy (POEM) in Iranian Hospital: Costs, Top Doctors, and Reviews

Dubai, United Arab Emirates

Design structure of any hospital is very important. It shows the level of concern that a Hospital is considering for its patients’ comfort.

As a whole, Iranian Hospital is equipped with 187 premium beds, 35 speciality clinics, 10 ICU Beds, 12 Neonatal ICU beds, 9 CCU beds, 8 Operation Theatres and 24 Paediatric beds.

The Hospital has medical & comfort facilities for both the segments:

  • Inpatients
  • Outpatients

Inpatient Services:

  • 24*7 Emergency Services- consist of 18 general beds, 3 VIP Acute care and 1 Isolation room
  • ICU: 19 beds plus one VIP suite room
  • CCU: 8 beds plus one VIP suite room
  • Internal Medicine ward with 2 VIP Patient suite rooms and 26 beds
  • For health tourists, Global Healthcare Department is present with VIP ward with 10 VIP Suite rooms
  • Surgical wards on gender basis (Men or Women)- 21 beds each + 1 VIP suite room
  • Surgery ward for Day care- 6 beds + 2 private suite rooms
  • 8 Operating rooms fully equipped with modern equipment for laparoscopic surgery
  • Fully equipped Cath-lab with 4 beds recovery unit _ immediate access to operating room for cardiac surgery
  • 38 beds + 1 VIP Suite room for Gynecology and obstetrics
  • 6 labor and 3 delivery beds in labour ward + 1 Emergency room for obstetrics OR
  • 12 beds in Neonatal ICU (NICU)
  • 24 beds + 2 VIP suite rooms in Paediatric ward
  • An Intensive Care Unit with 4 beds and 1 isolation unit for Paediatrics

Outpatients Sevices: Speciality clinics such as General Physician clinics, surgical clinic, Cosmetic & Aesthetic clinic, Ophthalmology clinic, Dentistry, Paediatrics clinic, etc. When it comes to accommodation, people get very conscious while choosing the Hospital. Iranian Hospital is the best at it as Hospital rooms are like luxury apartments equipped with all the amenities required by patients and their families. Services available at the Hospital during stay:

  • Private & shared rooms
  • Nurse call system by the bed
  • Specialized menus for specialized diets are prepared and screened individually by experienced dieticians. Guest trays are available as per request
  • Cleaning & Repairing of rooms to maintain cleanliness & hygiene
  • Each hospital bed has its own telephone extensions

Peroral Endoscopic Myotomy (POEM) in Istinye University Bahcesehir - LIV Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI
  • ISO 9001

Apart from in-detail treatment procedures available, Istinye University Bahcesehir - LIV Hospital located in Istanbul, Turkey 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, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • A 21-storey Hospital covers 62,500 sqm with ability to handle any emergency situation
  • Equipped with 300+ beds, 10 palliative care beds and 12 operating rooms
  • 30 Observation Rooms, which are convertible to Intensive Care Rooms in the need hour
  • Emergency Department with Emergency specialists
  • 64 Specialities Professional Centers like Organ Transplantation Center, Vascular Health Center, Spine Health Center, Check-up Center, etc.
  • IVF center
  • Pain Clinic
  • Stroke Center/Unit
  • Pediatric Intensive Care Unit
  • International Guest Department
  • In an emergency transfer of patients via air, the hospital also has an air ambulance facility
Peroral Endoscopic Myotomy (POEM) in Medical Park Goztepe Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

Medical Park Goztepe Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Capacity of 293 beds
  • 9 Operating theatres
  • 64 intensive care beds
  • Emergency Department
  • Chemotherapy Unit
  • Well-equipped rooms, designed to maximize exposure to day light and service approach is based on boutique hotel business
  • Cafeteria/Restaurant
  • Technology Advancement- 64-slice Computerized Tomography, high level Magnetic Resonance Imaging (MRI) scanner, Tomography scanner, Digital Mammography, Digital X-ray scanner, Ultrasound and Color Doppler, Digital and Peripheral Angiography and 4D Ultrasound device
Peroral Endoscopic Myotomy (POEM) in Riyadh Care Hospital: Costs, Top Doctors, and Reviews

Riyadh, Saudi Arabia

  • Joint Commission International, or JCI

Apart from in-detail treatment procedures available, Riyadh Care Hospital located in Riyadh, Saudi Arabia 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:

  • This healthcare organisation is equipped with modern and advanced healthcare instruments.
  • Riyadh Care Hospital has a 325 bed capacity.
  • The Department of Emergency and Department of Children Emergency work round the clock to provide the best of emergency care services.
  • Respiratory Therapy and Dialysis Center takes care of the respiratory and renal conditions of the patients.
  • Medical Rehabilitation Center provides the best in class rehabilitation and recovery services to the patients.
  • Laboratory, Blood Bank, Physical Therapy and Radiology departments are also present.
  • Intensive & Medium Care Unit for Children and Newborns and Intensive Care Unit for Cardiac conditions are also worth a mention for the outstanding work they are doing.
  • Pharmacies for inpatients, outpatients and emergencies.
  • The Intensive Care Unit is working to provide care for advanced and critical care.
Peroral Endoscopic Myotomy (POEM) in Care national Hospital: Costs, Top Doctors, and Reviews

Riyadh, Saudi Arabia

  • Joint Commission International, or JCI

Apart from in-detail treatment procedures available, Care National Hospital located in Riyadh, Saudi Arabia 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. Also listed below are some of the most prominent infrastructural details:

  • International patient care services of Care National Hospital is also at par with global standards. They provide all kinds of assistance to the patients coming from different nationalities to get required treatment.
  • Innovative healthcare practices are employed in the hospital and the healthcare providers routinely go over and above to provide the best treatment that any patient could get.
  • The hospital specialises in providing patients with customised healthcare options.
  • A multispecialty hospital with integrated departments, it has a bed capacity of 459.
  • Homecare services are also routinely provided to the patients of Care National Hospital, Riyadh, Saudi Arabia.
  • Outpatient Clinics include the following:
  • Department of Binoculars
  • Emergency Department
  • Radiology Department
  • Laboratory
  • Blood Bank
  • Department of Physical Therapy
  • Pharmacy
Peroral Endoscopic Myotomy (POEM) in Hospital Ruber International: Costs, Top Doctors, and Reviews

Madrid, Spain

  • ISO 9001

The Hospital has a wide architectural structure that consists of-

  • 90+ consultation rooms
  • 108+ private rooms
  • 15 suites and 3 royal suites
  • 10+ operation theatres
  • Neuro-Rehabilitation unit
  • Popular Specialties- Epilepsy, Neuropsychology, Neuro-Ophthalmology, Neuro-Oncology, Clinical Neurology, Memory Disorders, Movement Disorders, Neuro-rehabilitation

Peroral Endoscopic Myotomy (POEM) in Paracelsus Clinic: Costs, Top Doctors, and Reviews

Lustmuhle, Switzerland

Apart from in-detail treatment procedures available, Paracelsus Clinic located in Lustmuhle, Switzerland 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:

  • Five large buildings that caters to 8000+ outpatients every year
  • Medical staff of the Hospital includes 5 Doctors, 2 Dentists, 40+ nurses
  • Paracelsus Pharmacy
  • Paracelsus Dentistry
  • Culinarium/Restaurant
Peroral Endoscopic Myotomy (POEM) in Baskent University Istanbul Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI
  • ISO 9001

Baskent University Istanbul Hospital located in Istanbul, Turkey is accredited by ISO. Also listed below are some of the most prominent infrastructural details:

  • 13.000 square meters indoor area
  • Aesthetically designed Inpatient rooms
  • Latest healthcare equipments
  • 105 bed capacity
  • 5 operating rooms
  • 38 bed capacity in the Intensive Care Unit
  • 609 healthcare personnel and healthcare professors
  • Translation services for International patients
Peroral Endoscopic Myotomy (POEM) in Memorial Atasehir Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

Memorial Atasehir Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Covers an area of 22,000 sqm in the Anatolian side of Istanbul
  • The Hospital has comfortable patient rooms, designed while considering all the required needs of the patients
  • Capacity of 144 beds
  • Intensive Care Unit
  • Emergency Department

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Process Involved for Peroral Endoscopic Myotomy (POEM)

  • 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
  • Fill out the inquiry form: Fill out the form to provide us with the relevant information about your condition.
  • Consult with Our Healthcare Expert:One of our qualified specialists will contact you for a consultation
  • 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.
  • Choose your preferred option: Choose the treatment option that suits you the best.

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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.

    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.

    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