POEM for Esophageal Achalasia:
A Revolutionary Treatment
Dr. Pedro de María Pallarés - POEM Expert trained with Prof. Haruhiro Inoue
Over 150 procedures • 92% efficacy • European Olympus Board Member
The POEM for Achalasia technique (Peroral Endoscopic Myotomy) represents the most advanced evolution in the treatment of esophageal achalasia. As a POEM Expert trained directly with Prof. Haruhiro Inoue, creator of this revolutionary technique in Japan, I offer the most cutting-edge treatment for esophageal motility disorders with exceptional results and minimal invasion.
POEM Expert: Elite International Training
Unique credentials in Spain: direct training with POEM's creator, over 150 procedures performed, and international recognition as European Olympus Board Member
Training in Japan with Haruhiro Inoue
I trained directly with Prof. Haruhiro Inoue, the worldwide creator of the POEM technique, at Northern Yokohama Hospital in Japan. This exclusive training allowed me to master not only the original fundamentals of the technique, but also the most advanced innovations developed by the master of this discipline.
European Olympus Board Member
As European Olympus Board Member, world leader in endoscopic technology, I collaborate in the development and improvement of cutting-edge equipment and techniques. Additionally, I am a European trainer of endoscopists in advanced techniques, transmitting specialized knowledge to professionals throughout Europe.
TopDoctors 2024 Award
Honored with the prestigious TopDoctors Awards 2024, recognition granted by my medical colleagues for excellence in clinical practice and commitment to innovation in advanced digestive endoscopy.
Exceptional Clinical Results
La Paz University Hospital
National Reference Center - Complex Endoscopy Unit
INMEQ Madrid
Specialized Medical-Surgical Institute
Esophageal Achalasia: Understanding Your Condition
Achalasia is an esophageal motility disorder that affects swallowing ability. As a POEM Expert, I treat all types of achalasia with personalized techniques for each patient.
What is Achalasia?
Esophageal achalasia is a motility disorder where the lower esophageal sphincter (LES) does not relax adequately during swallowing, and the esophageal body loses its normal propulsive capacity. This causes difficulty swallowing (dysphagia), regurgitation, chest pain, and weight loss.
POEM for achalasia allows precise and controlled sectioning of the LES muscle fibers, definitively and minimally invasively restoring swallowing function.
Main Symptoms
- Progressive dysphagia: Difficulty swallowing liquids and solids
- Regurgitation: Return of undigested food
- Chest pain: Especially during meals
- Weight loss: Due to feeding difficulties
- Recurrent pneumonia: Due to aspiration
Achalasia Types and Personalized POEM Treatment
Achalasia Type I
Classic
Complete absence of esophageal peristalsis. The esophagus acts as a rigid tube without propulsive capacity.
Personalized POEM: Extensive LES myotomy to compensate for total lack of peristalsis.
Achalasia Type II
With Panesophageal Pressurization
Simultaneous contractions of the esophageal body that generate elevated pressures.
Personalized POEM: Best prognosis. LES-directed myotomy with excellent long-term results.
Achalasia Type III
Spastic
Spastic contractions of the distal esophagus with preserved motility in the proximal third.
Personalized POEM: Extended myotomy toward the esophageal body according to spastic segment length on manometry.
Advanced Innovation: Underwater POEM Myotomy
Pioneer in Spain of the underwater POEM technique that significantly reduces post-procedure pain and improves patient tolerance
What is the Underwater POEM Technique?
Underwater POEM myotomy is a technical innovation I perform using continuous saline irrigation during muscle sectioning. This technique, which I master after my advanced training in Japan, offers significant advantages over the conventional technique.
Underwater Technique Advantages:
Less Post-Procedure Pain
Continuous irrigation reduces clot formation and tissue inflammation, resulting in less postoperative pain.
Greater Precision and Safety
Irrigation improves visualization of the operative field, allowing more precise and controlled myotomy.
Faster Recovery
Patients experience better immediate tolerance and can start feeding earlier.
Results with Underwater Technique
Professional Testimonial
"The underwater POEM technique has revolutionized my clinical practice. Patients report significantly fewer postoperative discomforts and more comfortable recovery. It's a natural evolution of the POEM technique that directly benefits the patient."
- Dr. Pedro de María
Real Patient Testimonials
Authentic experiences from patients who have recovered their quality of life thanks to POEM for achalasia
"After searching many doctors because I was diagnosed with achalasia and they wouldn't decide to perform the intervention due to my age of 82 years, despite a favorable report from the cardiologist, I was lucky to find Dr. De María, an excellent professional, with authentic vocation, empathy and very good treatment who performed a Peroral Endoscopic Myotomy (POEM) on me, with one day of admission, without pain and that has considerably improved my quality of life by being able to swallow."
Verified Patient
POEM for Achalasia - INMEQ Madrid
Video Testimonial: José Luis
Complete experience with POEM for achalasia
TL;DR: "I CAN NOW EAT EVERYTHING"
José Luis tells us about his personal experience with the POEM procedure for achalasia, from initial diagnosis to complete recovery and return to normal eating.
Patient Satisfaction with POEM for Achalasia
POEM vs Conventional Surgery: The Treatment Revolution
As a POEM Expert, I offer the most advanced alternative to traditional surgery for esophageal achalasia treatment
| Aspect | POEM | Conventional Surgery |
|---|---|---|
| Access Type | Natural Endoscopic | External Incisions |
| Hospitalization Time | 24 hours | 3-5 days |
| Recovery | 1-2 weeks | 4-6 weeks |
| Postoperative Pain | Minimal | Moderate-Intense |
| Scars | None | Multiple |
| Success Rate | 92-95% | 90% |
Minimally Invasive
Completely endoscopic access through natural route, without external incisions or surgical trauma.
24h Discharge
Most patients receive medical discharge the next day, allowing rapid return home.
Maximum Safety
Over 150 procedures performed without documented major complications.
No Scars
Complete elimination of visible external marks, preserving body aesthetics.
Fast Recovery
Return to normal activities in 1-2 weeks vs 4-6 weeks for traditional surgery.
Superior Results
92% clinical success rate with lasting results and lower recurrence rate.
Do You Suffer from Esophageal Achalasia or Swallowing Difficulties?
As a POEM Expert trained directly with the technique's creator, I offer the most advanced treatment for achalasia. Consult your case without commitment at La Paz Hospital and INMEQ Madrid.