Cricopharyngeal Per-Oral Endoscopic Myotomy (C-POEM)
What is C-POEM?
Cricopharyngeal Per-Oral Endoscopic Myotomy (C-POEM) is a procedure to permanently treat Retrograde Cricopharyngeus Dysfunction (RCPD), often called “no-burp syndrome”. This condition leaves patients unable to burp or belch. It occurs when the cricopharyngeus muscle, a sphincter at the top of the oesophagus, fails to relax to let trapped air escape.
Why C-POEM?
C-POEM uses the same “third-space” endoscopic technique pioneered for conditions like achalasia (POEM), gastroparesis (G-POEM) and Zenker’s diverticulum (Z-POEM). A small incision is made in the lining of the oesophagus, through which the endoscope tunnels down to reach the cricopharyngeus muscle directly. The muscle is then carefully divided using a specialised knife, releasing the sphincter permanently, before the tunnel entry point is closed.
Benefits of C-POEM
Because it’s performed entirely through the mouth, C-POEM requires:
No external cuts to the neck or throat
Dr Haidry is one of the pioneers of C-POEM in the UK, having co-authored one of the first published case series on the technique, and has extensive experience applying “third-space” endoscopy across the upper GI tract, including Z-POEM, G-POEM and POEM for achalasia.
C-POEM is currently available at the Cleveland Clinic London and is covered by most private insurers. To speak with Dr Haidry about whether C-POEM is a suitable treatment option, book an appointment.
Get In Touch
For any enquiries about conditions, tests or treatments, please feel free to call Dr Rehan Haidry’s medical secretary Debra Hyams on:
Tel: 0203 423 7609 | Email: rhaidrymedsec@ccf.org