Achalasia Cardia Treatment
Achalasia Cardia Treatment in PCMC, Pune
Achalasia-Cardia is a rare condition, but its incidence is on the rise. In this situation, the lower esophageal sphincter (LES) fails to relax, making it challenging for the food to reach the stomach. Achalasia, also known as Achalasia Cardia, is characterized by the inability of the esophagus to transport food to the stomach. The LES is a ring-shaped muscle that encircles the junction of the esophagus and the stomach. It acts as a valve to regulate the flow of food in the digestive tract. However, in people with achalasia, the LES doesn’t function correctly, causing food to accumulate in the esophagus.
At Kaizen Gastro Care, our team of experts has successfully treated over 100 patients with Achalasia-Cardia in the past year alone, highlighting the growing prevalence of this disorder. Our center provides state-of-the-art, comprehensive treatment, and management for this disease. What distinguishes Kaizen Gastro Care is that both Dr. Vikrant Kale, an experienced Gastroenterologist and endoscopist, and Dr. Samrat Jankar, an advanced laparoscopic surgeon, work in tandem under one roof, minimizing the likelihood of a biased approach towards a specific method. Our center is well-known as the best destination for Achalasia-Cardia treatment in PCMC, Pune.
On this page, Dr. Vikrant Kale elaborates on the causes, signs, and treatment options available for Achalasia-Cardia, making it a valuable resource for people seeking guidance on this condition.
To gain an understanding of Achalasia Cardia, let’s first familiarize ourselves with the normal process of ingesting food.
Normal Swallowing:
In the process of normal swallowing, there are coordinated muscle contractions in the esophagus, known as peristalsis, that move food downwards via the esophagus. In addition, the Lower Esophageal Sphincter (LES) located at the lower end of the esophagus relaxes and opens, allowing food to pass into the stomach. Once the food reaches the stomach, the LES valve closes firmly to regulate the reflux of food and acid from the abdomen back into the esophagus. The proper functioning of the LES valve is critical in controlling acid reflux, which can cause food pipe ulcers and trigger heartburn.
What are the signs & symptoms of Achalasia-Cardia?
The primary symptom of achalasia is dysphagia or difficulty in swallowing. Additionally, patients may experience other symptoms, such as:
- Difficulty swallowing food or liquids
- A sensation of food getting stuck in the chest
- Regurgitation of undigested food through the mouth and nose
- Noncardiac chest discomfort
- Gradual loss of weight
- Some patients may develop pneumonia
- Vomiting may also occur
How is Dr. Vikrant Kale diagnosed Achalasia-Cardia?
Detecting Achalasia-Cardia at an early stage can be difficult since its signs may resemble those of other gastrointestinal disorders. When patients experience problems in swallowing and seek assistance at Kaizen Gastro Care in Wakad, our esteemed specialist, Dr. Vikrant Kale, initiates a series of diagnostic examinations to ascertain the presence of Achalasia-Cardia. These tests may include:
- Upper endoscopy: To rule out any malignant growths and evaluate achalasia, Dr. Vikrant Kale uses a slender, flexible tube fitted with a light and camera (endoscope) that is inserted through your throat. This method allows for an examination of the inner lining of the esophagus and stomach. If your signs or barium study results indicate a possible partial blockage of the esophagus, endoscopy can also be used to identify such obstructions.
- Barium study: A barium swallow is another useful investigative technique where you ingest a barium-containing solution. X-rays are then taken to ensure the lack of relaxation in the achalasia cardia.
- Esophageal manometry: Kaizen Gastro Care excels in performing Esophageal High-resolution Manometry, led by Dr. Rupali Bandgar, a skilled gastro physiologist. This process involves the insertion of a thin probe through the esophagus to evaluate peristalsis (muscle contractions) and the relaxation of the lower esophageal sphincter during swallowing. Esophageal manometry not only serves to confirm the diagnosis of achalasia cardia but also helps in determining the specific kind of achalasia, which is vital for developing an appropriate treatment plan. Dr. Rupali Bandgar possesses extensive expertise in analyzing these results at Kaizen Gastro Care, a highly reputed center for esophageal manometry.
Best Achalasia-Cardia Treatment in PCMC, Pune:
Kaizen Gastro Care prides itself on assembling an exceptional team of top-notch gastroenterologists in Pune, led by the renowned Dr. Vikrant Kale, a prominent endoscopic surgeon specializing in the POEM procedure, and Dr. Samrat Jankar, an expert laparoscopic surgeon skilled in laparoscopic Heller’s cardiomyotomy. Their patient-centric approach to achalasia treatment at Kaizen Gastro Care considers vital factors such as age, health needs, type of achalasia, and disease severity. This ensures that each patient receives a customized treatment plan delivering the most effective outcomes.
The core principle of achalasia cardia treatment
It is crucial to understand that none of the available treatments can halt or change the underlying loss of nerve cells in the esophagus or reinstate normal peristaltic contractions in achalasia patients’ food pipes.
The principle behind achalasia cardia treatment typically contains two main steps.
- The initial step involves the division of the muscles comprising the lower esophageal sphincter (LES) to ease achalasia symptoms like swallowing problems and food regurgitation.
- The subsequent step focuses on executing post-procedure anti-reflux measures to prevent the reflux of stomach contents into the esophagus after myotomy. These measures aim to decrease the risk of gastroesophageal reflux disease (GERD), which can appear due to the weakened LES following myotomy. The specific anti-reflux measures may involve additional surgical procedures to reinforce the LES or create an anti-reflux barrier, based on the surgeon’s choice and the patient’s condition.
By dividing the LES muscles to ease achalasia symptoms and executing anti-reflux measures, the overarching objective of achalasia cardia treatment is to restore regular swallowing function while minimizing the chance of post-procedure reflux.
Nonsurgical Treatment Options for Achalasia Cardia:
Kaizen Gastro Care, renowned as one of Pune’s premier centers for achalasia cardia treatment, offers non-surgical options such as medication, endoscopic botox injection, and endoscopic pneumatic dilation. These options are typically reserved for patients deemed high-risk or unsuitable for surgery. It is essential to note that non-surgical treatments have their limits, including potential suboptimal results and the need for multiple sessions. The team at Kaizen Gastro Care meticulously assesses each patient’s circumstances to determine the most suitable treatment method, ensuring the best possible results.
- Medication: In some instances, achalasia-cardia signs are treated with medications such as muscle relaxants, nifedipine, or isosorbide. However, it should be noted that medication provides only temporary ease and is not recommended for routine clinical practice.
- Botulinum Toxin (Botox) Injection: The injection of botulinum toxin into specific muscles induces temporary paralysis, lasting from months to over a year. This treatment is temporary and comes with its own set of challenges, assembling it typically reserved for people who cannot experience surgery, have a poor prognosis or have a limited life expectancy.
- Balloon Dilation of Achalasia: Balloon dilation concerns the insertion of a balloon into the esophagus, which is then expanded to enlarge the lower esophageal sphincter (LES) opening. However, this method is now considered outdated, with only a few doctors still performing it. The main disadvantages are the requirement for multiple sessions to achieve relief of signs and an improved risk of complications like esophageal perforation.
Surgical treatment options for achalasia cardia:
When it comes to achalasia cardia, surgery is regarded as a more efficient and successful treatment option with long-lasting effects. The surgical procedure involves a deliberate and imagined division of the muscles surrounding the lower esophageal sphincter (LES) valve to keep its openness, enabling smoother passage of food and liquids via the esophagus. At Kaizen Gastro Care, the surgical options for achalasia cardia encompass laparoscopic myotomy (laparoscopic Heller’s cardiomyotomy) and endoscopic surgery (POEM procedure).
- Laparoscopic Heller myotomy (LHM):
Dr. Samrat Jankar, a well-known laparoscopic surgeon and Achalasia Surgeon in PCMC, Pune, well performs Laparoscopic Heller myotomy (LHM) to effectively address the condition. During the process, Dr. Jankar meticulously cuts the muscle at the lower section of the esophageal sphincter, facilitating the easier passage of food into the stomach. This is accomplished using minimally invasive keyhole surgery (Laparoscopic Heller Myotomy), which decreases risks and promotes a speedier recovery.
To prevent possible future complications related to gastroesophageal reflux disease (GERD), Dr. Jankar concurrently conducts fundoplication during the Heller myotomy. Fundoplication involves wrapping the upper portion of the stomach around the lower esophagus, creating a valve that prevents acid reflux into the esophagus. This helps in managing GERD and its accompanying signs. Fundoplication is typically performed using minimally invasive laparoscopic methods, leading to enhanced patient recovery and reduced postoperative discomfort.
With Dr. Samrat Jankar’s expertise in Laparoscopic Heller myotomy(LHM) and fundoplication, patients with achalasia cardia can obtain wide and cutting-edge surgical treatment at Kaizen Gastro Care in Pune.
- Endoscopic surgery: Peroral endoscopic myotomy (POEM):
Dr. Vikrant Kale, the top-notch endoscopist in Pune at Kaizen Gastro Care, boasts vast experience in the field. He completed his Fellowship in Upper & Lower GI Endoscopy from Oxford University (UK) in 2018. Throughout his career, Dr. Kale has conducted approximately 3200 gastroscopies, 2000 colonoscopies, and 700 ERCPs. He is highly regarded for his expertise in conducting the Peroral Endoscopic Myotomy (POEM) method to treat achalasia cardia. By utilizing an endoscope inserted via the mouth and down the throat, Dr. Kale creates an incision in the inner lining of the esophagus, similar to a Heller myotomy. This permits the precise cutting of the muscle at the lower end of the esophageal sphincter, alleviating swallowing difficulties.
However, it’s important to note that POEM does not include an anti-reflux method like fundoplication, which can decrease the risk of postoperative acid reflux. Studies show that around 40-60% of patients who undergo POEM may experience gastroesophageal reflux disease (GERD) after the procedure. In such cases, long-term oral medication for acid reflux might be essential.
Despite this limitation, POEM has shown high effectiveness in improving swallowing function, producing results comparable to laparoscopic surgery. Dr. Vikrant Kale’s ability in performing POEM at Kaizen Gastro Care in Pune makes him an excellent choice for patients seeking minimally invasive treatment for achalasia cardia. Ensuring proper evaluation and management of GERD after POEM can lead to optimal postoperative outcomes for patients.
Achalasia Cardia follow-up:
As the treatments available for achalasia do not cure the underlying disorder and due to the raised risk of esophageal cancer, regular follow-up is essential. The purpose is to identify and address recurring signs or complications, particularly GERD. At Kaizen Gastro Care, our expert gastroenterologists Dr. Vikrant Kale and Dr. Samrat Jankar prioritize consistent follow-up with patients as our main goal is not just to treat, but to totally cure our patients. Regular follow-up appointments contribute to reaching a complete recovery from the condition.
Postoperative Care after Achalasia Cardia Surgery:
Postoperative care after Achalasia surgery is an essential component of the treatment plan at Kaizen Gastro Care, a foremost center for Achalasia treatment in Pune, India. The following are some known approaches for postoperative care:
- Diet and Nutrition: Your surgeon will provide specific dietary instructions after the surgery. During the initial postoperative stage, a liquid or soft diet may be recommended to stimulate healing at the surgical site. Gradually, you can progress to a regular diet as taken. It is essential to adhere to the dietary guidelines provided by your surgeon to avoid any complications related to swallowing or reflux.
- Pain Management: It is common to experience pain at the surgical site after the procedure. Your surgeon may specify pain medications to help alleviate discomfort.
- Activity and Rest: Sufficient rest is essential for the healing process. However, early mobilization and walking are encouraged to prevent blood clots and promote overall recovery.
- Incision Care: If you underwent laparoscopic surgery, proper care of the small incisions is essential.
- Follow-up Appointments: Regular follow-up appointments with your surgeon are important to monitor your progress and ensure proper healing.
- Medications: You may obtain prescriptions for medications to control acid reflux or antiemetics.
- Lifestyle Changes: Patients may be advised to implement certain lifestyle changes, such as avoiding spicy foods, stopping smoking, and gaining weight loss, to effectively manage signs and prevent the recurrence of the disease.
How much does the achalasia-cardia treatment cost in PCMC, Pune?
The costs associated with achalasia-cardia treatment in Pune can vary between Rs. 1,25,000 and Rs. 3,00,000 (one lakh twenty-five thousand to three lakh rupees). The overall cost of Achalasia treatment in India depends on the healthcare facilities available in each specific city.
Several factors contribute to the total expenditure, including the patient’s medical situation, the type of hospital accommodation selected, corporate initiatives such as EHS (Employees’ Health Scheme), CGHS (Central Government Health Scheme), Employees’ State Insurance, or the availability of cashless medical insurance range. Nonetheless, the cost of achalasia-cardia surgery and the complete medical stay in Pune amounts to just about a quarter of what one would normally pay in a Western nation.
Why choose Us?
- Skilled gastroenterologist: Dr. Vikrant Kale, along with Dr. Samrat Jankar, boasts vast expertise in the field of gastroenterology and gastrointestinal surgery within the Pune and PCMC regions. They offer unparalleled care for various gastric and esophageal ailments.
- Cutting-edge diagnosis and treatment: Kaizen Gastro Care offers a comprehensive range of diagnostic tests and innovative therapies, many of which are unique to specialized esophageal clinics in Pune.
- Convenient location: Situated in the prime Wakad Area of Pune and PCMC, the Kaizen Gastro Care Clinic enjoys a prominent position that can be easily accessed via public transportation.
- State-of-the-art technology: The facility employs the latest imaging software, along with cutting-edge endoscopes and probes, aiding in the accurate diagnosis and treatment of achalasia.
- Devoted Esophageal Center: By seeking treatment at a trusted esophageal center, you gain access to a team of specialists specializing in esophageal diseases and motility disorders such as achalasia. They prioritize expedited diagnostic testing and collaborate to ensure the most suitable treatment for your specific condition.
- Minimally invasive approaches: Dr. Samrat Jankar and the Kaizen experts utilize minimally invasive procedures for the diagnosis and treatment of achalasia, effectively managing signs and controlling further complications.
- Cutting-edge Facilities: Equipped with state-of-the-art comforts and advanced technology, the center offers the latest and most efficacious treatment choices for Achalasia Cardia.
- Patient Experiences: Kaizen Gastro Care has garnered positive feedback and testimonials from contented patients who have undergone treatment for Achalasia Cardia at their facility.
Frequently Asked Questions (FAQ's):
No, there is currently no permanent cure for achalasia. However, various treatment options are available to manage the symptoms and improve the quality of life.
The recovery time for achalasia can vary depending on the individual and the treatment approach.
Yes, there is a possibility for Achalasia to return after surgery. While surgery can provide relief and improve symptoms in many cases, it is not a guaranteed permanent solution. Regular follow-up with a healthcare professional is important to monitor any potential recurrence and manage it effectively.
Yes, achalasia surgery is generally considered safe. However, like any surgical procedure, there are potential risks and complications associated with it. It is important to consult with a qualified surgeon who can evaluate your specific case and discuss the potential risks and benefits of the surgery.
People of any age can develop achalasia, but it is most commonly diagnosed in adults between the ages of 25 and 60. It affects both men and women equally and there is no known genetic predisposition.
How to Book An Appointment:
Dr. Vikrant Kale at Kaizen Gastro Care Clinic provides the best treatment for various stomach diseases in Pimpri Chinchwad Pune. For more information about our comprehensive treatment options, or to request an appointment with the best Gastroenterologist in Pune call 09763635252 / 07558423708 or Click on Book Appointment for online booking with your near hospital.
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About Dr. Vikrant Kale
Dr. Vikrant Kale is the best gastroenterologist in PCMC Pune and trained in Gastroenterology and advanced endoscopy in UK & Ireland.
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