2023, Vol. 6, Issue 2, Part A

Achalasia, a benign motility disorder of the esophagus, results in incomplete relaxation of the lower esophageal sphincter (LES) and absent peristalsis. Patients experience dysphagia, regurgitation, chest pain, weight loss, and heartburn. Pharmacological therapy has been unsatisfactory and definitive treatment has focused on mechanical disruption of the tight LES. Peroral endoscopic myotomy (POEM) is a safe and minimally invasive modality regarded as the first line management of all types of achalasia. POEM is performed under general anesthesia with endotracheal intubation using an orally inserted gastrointestinal endoscope. Briefly, POEM involves endoscopic creation of a mid-esophageal submucosal incision, creation of a submucosal tunnel with the endoscope, and then a myotomy of distal circular muscles with a Triangular Tip electrosurgical (TT) knife, resulting in relaxation of the achalasia. We, hereby report a case of a patient with Achalasia Cardia Type II posted for POEM procedure under General Anaesthesia.