Peroral Endoscopic Myotomy in Dallas, TX
What is a peroral endoscopic myotomy (POEM)?
Pediatric gastroenterology pertains to the assessment and management of gastrointestinal (GI)-related issues in children from birth to 18 years of age. Pediatric digestive disorders need to be treated and cared for by keeping a child’s body and physical makeup in mind. A pediatric gastroenterologist is a pediatrician who has completed three additional years of advanced training for GI conditions in young people. They can address each aspect of a child’s treatment, including diagnostic testing, treatment plans, anesthesia, and medical imaging.
The pediatric gastroenterologists at Digestive Health Associates of Texas are board-certified in pediatric gastroenterology. Many of our pediatric physicians also provide care for pediatric liver conditions and feeding issues. They work with kids spanning many ages, evaluate and treat gastrointestinal conditions and concerns, and are skilled in recognizing symptoms and signs of GI issues that affect children. Our providers utilize child-friendly clinical atmospheres and provide personalized care for kids to create the best possible experience. To find a provider who offers pediatric digestive care in Dallas, TX, please contact us today.
How can I prepare for POEM?
Your gastroenterologist will give you preparation instructions before POEM to ensure the procedure has the most optimal outcome. These typically involve going on a liquid diet at least 3 days prior to the procedure, with only clear liquids allowed about 24 hours before the procedure. You will likely be given a prescription for an antibiotic medication to take before POEM. Be sure to inform your gastroenterologist of what other medications and supplements you may be taking so that your medications can be adjusted accordingly. If you have further questions about preparing for POEM, contact your Digestive Health Associates of Texas center to speak to an expert gastroenterologist.
What should I expect with POEM?
Patients are usually sedated under general anesthesia during POEM. The procedure itself typically takes around 2 hours, but overnight observation in a hospital setting is required. During POEM, an endoscope is run through the mouth and into the esophagus. The surgeon makes an incision in the inner layer of the esophagus (the mucosa) and runs the endoscope down to the lower esophegeal sphincter, where the surgeon makes targeted cuts into the esophageal muscle fibers to weaken the sphincter. Once this is complete, the endoscope is removed and the incisions are closed. Patients will typically have an esophagram the next morning to check on the success of the procedure and then will be asked to consume a liquid diet as they heal and recover.
