POEM / Third-Space Endoscopy

What is third-space endoscopy?

In third-space endoscopy, the endoscopist creates a tunnel between the inner lining and the muscle layer of the gut wall — the “third space” — and works inside it. Dr. Kalia received dedicated training in these techniques at one of the premier centres in China.

POEM for achalasia

Per-oral endoscopic myotomy (POEM) treats achalasia, a condition in which the lower end of the food pipe does not relax, causing difficulty swallowing, regurgitation and weight loss. During POEM the tight muscle is divided from the inside, without any skin incision.

ESD for early cancers

Endoscopic submucosal dissection (ESD) removes early cancers and large flat polyps in one piece from the oesophagus, stomach or colon, often avoiding surgery.