Publication:
First Successful Independent Peroral Endoscopic Myotomy (POEM) for Achalasia Cardia: A Milestone Case Report from Nepal

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creativeworkseries.issn1812-2027
dc.contributor.authorPurbey, BK
dc.contributor.authorKarki, S
dc.contributor.authorKhanal, A
dc.contributor.authorKhadka, D
dc.contributor.authorSingla, V
dc.contributor.authorAdhikari, S
dc.date.accessioned2026-01-26T09:56:40Z
dc.date.available2026-01-26T09:56:40Z
dc.date.issued2025
dc.descriptionPurbey BK,1 Karki S,1 Khanal A,2 Khadka D,2 Singla V,3 Adhikari S4 1Department of Gastroenterology HAMS Hospital, Mandikhatar, Kathmandu, Nepal 2Department of Gastroenterology NAMS, Bir Hospital, Kathmandu, Nepal 3Department of Gastroenterology MAX Hospital, New Delhi, India 4Department of Internal Medicine HAMS Hospital, Mandikhatar, Kathmandu, Nepal
dc.description.abstractABSTRACT Achalasia cardia is an uncommon esophageal motility disorder characterized by failure of relaxation of the lower esophageal sphincter and loss of peristalsis in the lower part of the esophagus. Peroral Endoscopic Myotomy (POEM) has emerged as a minimally invasive intervention equivalent to Heller myotomy and an effective treatment modality. We present the first successful solo peroral endoscopic myotomy procedure performed in Nepal by an interventional gastroenterologist, who has managed a 45-year-old patient with long-standing dysphagia and a history of failed pneumatic dilatation with success. The procedure was uneventful. The patient showed symptomatic improvement postoperatively with minimal reflux. This case highlights the feasibility and safety of independently performed peroral endoscopic myotomy in a resource-limited setting. It shows the diaspora of interventional gastroenterology in Nepal and begins a new era for the same. KEY WORDS Achalasia cardia, Dysphagia, Eckardt score, Peroral endoscopic myotomy (POEM)
dc.identifier.urihttps://hdl.handle.net/20.500.14572/4373
dc.language.isoen_US
dc.publisherKathmandu University
dc.subjectAchalasia cardia
dc.subjectDysphagia
dc.subjectEckardt score
dc.subjectPeroral endoscopic myotomy (POEM)
dc.titleFirst Successful Independent Peroral Endoscopic Myotomy (POEM) for Achalasia Cardia: A Milestone Case Report from Nepal
dc.typeArticle
dspace.entity.typePublication
local.article.typeCase Report
oaire.citation.endPage248
oaire.citation.startPage245
relation.isJournalIssueOfPublication2ee399a6-78eb-4665-8bd3-4045d34d4222
relation.isJournalIssueOfPublication.latestForDiscovery2ee399a6-78eb-4665-8bd3-4045d34d4222
relation.isJournalOfPublicationa782b7ff-cf89-4178-ad1c-11ed89cfe1bd

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