In a groundbreaking medical intervention, Manipal Hospital in Baner, Pune, successfully treated a 34-year-old patient suffering from debilitating swallowing issues caused by Achalasia cardia. 

The patient, who had been enduring symptoms like severe dysphagia, vomiting, nausea, and loss of appetite for six months, saw a remarkable improvement in quality of life following the innovative procedure.

Achalasia Cardia: A Rare and Complex Condition

Achalasia cardia is a rare disorder of the lower esophageal sphincter (LES) that impairs its ability to relax, causing food and liquids to remain trapped in the esophagus. This condition affects 8–12 individuals per 100,000 globally and is characterized by abnormal esophageal muscle spasms that disrupt normal swallowing.

To confirm the diagnosis, the hospital employed Oesophago-Gastro-Duodenoscopy (OGD Scopy) and esophageal manometry, the latter being the most advanced diagnostic tool available at their newly established GI Motility Lab. “Esophageal manometry allowed us to accurately analyze muscle contractions and LES function, making the diagnosis of swallowing abnormalities like achalasia much more precise,” explained Dr. Prasad Bhate, Consultant Gastroenterologist at Manipal Hospital, Baner.

POEM Procedure: A Minimally Invasive Breakthrough

Recognizing the patient’s severe condition, Dr. Bhate and his team opted for Per Oral Endoscopic Myotomy (POEM), a cutting-edge, minimally invasive procedure. The endoscopic approach involved making precise incisions in the esophageal muscles to relieve the obstruction and restore normal swallowing function.

“The POEM method eliminates the need for open surgery, ensuring faster recovery and improved outcomes,” said Dr. Bhate. 

“Our patient was able to drink water within two hours of the procedure, progressed to a liquid diet within days, and transitioned to a soft diet over ten days.”

Compared to traditional techniques like Heller myotomy and pneumatic dilatation, POEM offers superior advantages, including reduced invasiveness, quicker recovery, and lasting relief.

Advanced Technology Meets Patient-Centered Care

This successful case also highlights the hospital’s commitment to leveraging advanced medical technologies. “At Manipal Hospital in Baner, we are dedicated to merging cutting-edge techniques with a patient-centered approach,” said Mr. Anand Mote, Cluster Director, Manipal Hospital, Baner. 

“The effective treatment of this rare condition underscores our leadership in delivering world-class gastrointestinal care and innovative solutions.”

A Promising Future for Gastrointestinal Care

The success of the POEM procedure demonstrates how advanced diagnostics and minimally invasive treatments can transform care for patients with complex medical conditions like Achalasia cardia. As hospitals like Manipal continue to push the boundaries of medical innovation, patients can look forward to improved outcomes and better quality of life.