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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 Guven Hospital: Costs, Top Doctors, and Reviews

Ankara, Turkey

Started as a small hospital and has become a large general Hospital with-

  • 254 beds
  • 12 Operating rooms
  • Staff of 1600 people including expert physicians, nurses, and auxiliary health personnel
  • Guven Medical Surgical Centre
  • IVF Centre
  • Blood Bank
  • Organ Transplant Centre
  • Fully-equipped centres to perform various types of Surgeries
  • Guven Healthy Living Campus for patients
Peroral Endoscopic Myotomy (POEM) in Manipal Hospital, Yeshwantpur: Costs, Top Doctors, and Reviews

Bangalore, India

  • Joint Commission International, or JCI
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Manipal Hospital, Yeshwantpur located in Bengaluru, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • Super-specialty healthcare facility
  • Started operations in July 2008
  • Video consultations with specialists
  • Various health checkup packages available
  • Technological applications in healthcare and healthcare delivery
  • Many ancillar services available like
    • ICU, NICU
    • Physiotherapy
    • Referral lab
    • Teleradiology / telemedicine
    • Pharmacy
    • Imaging facilities
  • Rehabilitation services, 24 hour emergency services, operating theatre, ambulatory and daycare, cafeteria, and many kinds of patient accomodation.
Peroral Endoscopic Myotomy (POEM) in Medipol Mega University Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

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

  • The Hospital includes 4 centers i.e. general surgery, cardiovascular surgery, oncology, and dentistry
  • Medipol patients have access to over 60,000 m2 of the gardens, 26,000 m2 of the five-storied underground parking, 100,000 m2 covered premises and 1,500 members of the stuff
  • Capacity of 470 patient beds
  • Oncology Center
  • Emergency department that can admit up to 134 patients (including general, coronary, KVC and neonatal emergency department)
  • 25 Operating rooms
  • Medipol Mega University Hospital uses the following innovative technologies- Biplane digital flat-panel angiographic system, Digital flat-panel tomosynthetic mammography, Surgical O-ARM PEROP CT Imaging system, etc.
  • Helicopters enabling the transfer of the patient at the most emergency cases
  • The Hospital creates a friendly & comfortable ambience for the patients and their relatives with terrace garden suites, normal rooms. Each room is equipped with multimedia services like TV, DVD, Internet, online access from patients bedside, Unlimited Digital Archive pacs and high-quality meal service
  • Prayer Room
  • 5-starred cafeteria/restaurant
Peroral Endoscopic Myotomy (POEM) in Ruby Hall Clinic: Costs, Top Doctors, and Reviews

Pune, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • National Accreditation Board for Testing and Calibration Laboratories (NABL)

Ruby Hall Clinic located in Pune, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • Ruby Hall Clinic brought in Intensive Care and Coronary care units as early as in 1969.
  • It was the pioneer in terms of having achieved the first successful Kidney Transplant and test tube baby in Pune and being the initiator for Cobalt Therapy to ensure Cancer treatment.
  • Imaging advancement is being used in the hospital which is highly advanced known as Positron Emission Tomography.
  • Ruby Hall Clinic is in the possession of two cardiac cath labs and Linear Accelerators.
  • There are as many as 550 in-patient beds which is inclusive of 130 ICU beds.
  • Air Ambulance services are provided by the hospital.
  • There is a multi-organ transplant centre which began operations in the year 1997 and a Neuro Trauma stroke centre.
  • There is also the presence of an independent Stroke Trauma Unit which is fully equipped and enabled with the right units and healthcare personnel.
Peroral Endoscopic Myotomy (POEM) in Assuta Hospital: Costs, Top Doctors, and Reviews

Tel Aviv, Israel

  • Joint Commission International, or JCI

Assuta Hospital located in Tel-Aviv, Israel is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Annual numbers for Assuta Hospital group
    • 92,000 surgeries
    • 683,000 healthcare examinations, ambulatory treatments
    • 440,000 imaging tests
    • 4,000 (approx.) cardiac catheterization diagnosis, treatments
    • 16,000 (approx.) IVF treatments
    • 500 (approx.) kinds of surgical procedures
  • Assuta Hospital, Tel Aviv, is an important healthcare facility which is recognised for being a surgical specialist.
  • Even in the surgical specialty, Assuta Hospital, Tel Aviv performs superlative Minimally Invasive Surgeries.
  • Impressive imaging technology is present in the hospital, such as CT (advanced), PET-CT, MRI and two-head nuclear imaging camera.
  • 15 Operating Theatres
  • 200 plus beds
  • Resuscitation units
  • 2 monitoring laboratories

Peroral Endoscopic Myotomy (POEM) in Czech Medical Center: Costs, Top Doctors, and Reviews

Brno, Czechia

  • Joint Commission International, or JCI

Apart from in-detail treatment procedures available, Czech Medical Center located in Brno, Czechia 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:

  • A streamlined and well developed process for International patients at Czech Medical Center, Brno, Czechia.
  • It is the most specialised medical center providing complex care.
  • The center possesses the latest technologically upgraded equipment.
  • Really less waiting times, generally between four to six weeks
  • Best treatment provided to the patients by world class specialists
  • The center was awarded, first place in Europe, with NIAHOSM certificate.
  • The center is in the possession of many more quality certificates.
Peroral Endoscopic Myotomy (POEM) in Aster CMI Hospital: Costs, Top Doctors, and Reviews

Bangalore, India

5.0 ( 1 Reviews )
  • Joint Commission International, or JCI
  • National Accreditation Board for Testing and Calibration Laboratories (NABL)

Aster CMI Hospital located in Bengaluru, India is accredited by JCI, NABH. Also listed below are some of the most prominent infrastructural details:

  • Around 500 bed capacity
  • Primary care to Quaternary care services
  • Outpatient and inpatient departments
  • Day care center for small children
  • Availability of Surgical suites
  • Intensive Care Units
  • 24-hour Emergency and Trauma Care
  • Emergency Unit especially for children
  • Newly launched the Lung and Heart Transplant Centre
  • Video Consultation with doctors available on GraphMyHealth
  • A specialised Aster Center of Excellence for Women & Children
  • Latest Minimally Invasive Procedures being performed
  • Safe Interventional Procedures
  • Control of Infection protocols are strictly followed
  • Aster Holistic Collaborative Care: Aster Palliative Care for lowering suffering if critically ill patients, Physical Medicine & Rehabilitation, Aster Wellness, Psychology, Chronic Pain Management, Nutrition & Dietetic, Podiatry Care etc.
  • 11 Centers of Excellence
  • An academics focus with BSc Program, MEM Program, Pediatric Fellowship Program
  • A streamlined International patient care center with dedicated services and technology enabled processes
Peroral Endoscopic Myotomy (POEM) in Lenmed Ethekwini Hospital and Heart Centre: Costs, Top Doctors, and Reviews

Durban, South Africa

4.9 ( 1 Reviews )

Apart from in-detail treatment procedures available, Lenmed Ethekwini Hospital and Heart Centre located in Durban, South Africa 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:

  • 377 bed capacity
  • 24 hour accident and emergency unit
  • Heart, lung and kidney transplants available
  • Pediatric Cardiac Surgery services
  • Cardiac Centre of Excellence for Adult & Paediatric Cardiac Surgery
  • Two Cardiac Catheterisation Labs
  • Cardiac Theatre
  • 7 Major Operating Theatres
  • 42 Bed ICU
  • Neuro Operating Theatre
  • Stroke Centre of Excellence
  • Renal Centre of Excellence
  • 24/7 Emergency unit
  • Transplant Program
  • Pharmacy and Prayer Facility
Peroral Endoscopic Myotomy (POEM) in NMC Specialty Hospital Al Salam: Costs, Top Doctors, and Reviews

Riyadh, Saudi Arabia

Apart from in-detail treatment procedures available, NMC Specialty Hospital Al Salam 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:

  • The hospital is situated at a prime location with easy access from Mecca-Khurais Road and Al-Imam Shafi road
  • 100 Hospital Rooms
  • 25 Intensive Care Units with modern equipment
  • 24-hour Pharmacy
  • 24-hour Emergency Services
  • Laboratory
Peroral Endoscopic Myotomy (POEM) in University Hospital Quironsalud Madrid: Costs, Top Doctors, and Reviews

Madrid, Spain

  • Joint Commission International, or JCI
  • ISO 9001

Apart from in-detail treatment procedures available, University Hospital Quironsalud Madrid located in Madrid, 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:

  • 54,000 square meters is the area of the hospital.
  • It has huge healthcare capacities with an annual number of 300,000 plus consultations and surgical procedures.
  • The hospital has 39 medical as well as surgical disciplines.
  • There are a variety of rooms available in the hospital which includes 235 individual rooms, as many as 57 suites with 4 royal rooms, 14 Intensive Care unit beds, 8 pediatric ICU beds and 18 Neonatal ICU beds.
  • There are over 70 out-patient clinics present in the hospital.
  • Quironsalud Madrid University Hospital, Madrid has 21 advanced operation rooms.
  • It also possesses one da Vinci surgical robot.
  • The international patient care of the hospital is top notch.

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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