Achalasia cardia is an uncommon condition where the lower esophageal sphincter (LES) fails to relax appropriately. While the food and fluids sit in the esophagus, patients experience progressive dysphagia, regurgitation, discomfort in the chest, chronic cough, and frequently avoidable weight loss. The patient can experience severe malnutrition, aspiration pneumonia, and permanent dilation of the esophagus without delay in treatment.
🎯 Precise Diagnosis: The First Crucial Step
1. High-Resolution Manometry (HRM): captures real-time pressure patterns in the esophagus and determines which achalasia type (I, II, III) is present.
This comprehensive evaluation will assure Dr. Agrawal will provide the right treatment based on your achalasia subtype and disease severity grade to increase efficacy and decrease risks.
🛠️ Advanced, Minimally Invasive Treatments
1. Peroral Endoscopic Myotomy (POEM)
- Procedure: Through a small mucosal incision in the esophagus, an endoscope creates a submucosal tunnel to divide the circular muscle fibers of the LES.
- Advantages:
- Scar-free, no external incisions
- Minimal postoperative pain
- Short hospital stay (often 24 hours)
- Rapid return to soft diet within 24–48 hours
2. Laparoscopic Heller’s Myotomy & Partial Fundoplication
- Procedure: Via four tiny abdominal ports, the LES muscle is precisely divided. A Dor or Toupet fundoplication is added to prevent acid reflux without compromising swallowing.
- Advantages:
- Durable symptom relief
- Low rates of postoperative reflux
- Discharge in 1–2 days
- Return to normal activities in 7–10 days
3. Pneumatic Balloon Dilatation
- Procedure: Under fluoroscopy, a high-pressure balloon is positioned across the LES and inflated to stretch the tight muscle.
- Advantages:
- Outpatient setting—no general anesthesia
- Ideal for patients unfit for surgery
- Repeat dilations available if needed
💡 Personalized Perioperative Care
- Pre-Op Nutrition & Counseling: A dietitian guides you through liquid and soft-food plans to optimize your health before intervention.
- Dedicated Support Team: GI nurses, physiotherapists, and nutritionists work together to ensure a seamless recovery.
- Structured Follow-Up: Weekly checks for the first month, then quarterly reviews with repeat HRM or barium swallow studies to confirm sustained relief.
🌟 Why Choose Dr. Achal Agrawal?
• Experienced: More than 20 years treating GI motility disorders, with >95% success using POEM and Heller’s myotomy.
📖 Real-Life Success: A Patient Story
Mr. Suresh, age 48: He had been an achalasia patient for 18 months, and his solid food tolerability diminished. He lost 8 kilograms during this time. After a POEM procedure with Dr. Agrawal, he was eating a regular diet within 48 hours and regained this weight in two months. He now eats all foods without restrictions—and attributes his recovery to our team’s generous care and exemplary technique.
🔗 Comprehensive Laparoscopic Services
- Gall Bladder Surgery in IndoreLaparoscopic cholecystectomy for gallstones—four small cuts, little pain, go home in 24–48 hours.
- Tension-free mesh techniques for inguinal, umbilical, and incisional hernias—easy recovery and low recurrences.
- Laser hemorrhoidoplasty and stapled hemorrhoidopexy for Grade I to IV hemorrhoids—less bleeding, pain, and downtime.
- • Appendix Removal Surgery in IndoreLaparoscopic appendectomy using three small cuts—day-care surgery for selected enviable cases, with a quick return to activity.
- Multidisciplinary bariatric care—medical management and surgical options (sleeve gastrectomy, gastric bypass) for long-lasting results..
📞 Book Your Consultation Today
There is no better place to place your trust than Indore's premier facility for minimally invasive surgical solutions for your gastrointestinal problems.
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