Diagnostic / Examination

Endoscopy

Acalasia is suspected if food remains in the esophagus during endoscopy, even though the fasting time was observed before the examination.
Esophageal angiography

X-ray examination shows a lower esophagus narrowed by bird beak narrowing.
Esophageal manometry

During the internal pressure test, there is no peristaltic movement of the esophagus, and there is no relaxation of the sphincter connecting the gastroesophagus. (With the blue line connected below)
Ultrasonic endoscope

In the case of the lower esophagus, 1mm thickens to more than 5mm when the thickness of the normal muscle or achalasia occurs.

Gangnam Gie Hospital
Digestive Disease Treatment Program

Although it is impossible to completely cure the damaged nerve cells in achalasia, several treatments can improve symptoms.
Drug treatment and botulinum toxin injection lower the lower esophageal sphincter pressure, and balloon dilatation and myotomy are methods to mechanically weaken the lower esophageal sphincter.

Drugs that show muscle relaxation can be used to lower lower esophageal sphincter pressure and relieve symptoms.

Injecting Botox temporarily paralyzes the nerve that controls the lower esophageal sphincter, thereby relieving obstruction.

Balloon dilatation relieves symptoms by mechanically expanding the lower esophageal sphincter using a balloon.

This is a method of selective incision of the esophageal muscle using an endoscope without a surgical incision using endoscopic submucosal dissection.

POEM
(Per-oral Endoscopic Myotomy for Achalasia)

POEM is the latest treatment to selectively incise muscles in the esophagus through an endoscope, introducing natural opening endoscopy (NOTES) to conventional submucosal dissection (ESD).
It plays a pioneering role in POEM surgery at Gangnam Gie Hospital and helps you be freed from the pain of swallowing difficulties

Achalasia treatment process

Step.1

Create a tunnel between the esophageal mucosa and muscle layers using an endoscope and enter the gastroesophageal sphincter
Step.2

Reduce sphincter pressure by incising damaged lesions using endoscopic knife
Step.3

When the incision is complete, close the submucosal tunnel entrance and end the treatment

GANGNAM GIE HOSPITAL

Features of the Digestive Disease
Center in GANGNAM GIE HOSPITAL

Diagnosis and treatment at the same time

We provide precise diagnosis of digestive diseases through tests
such as endoscopy, capsule endoscopy, abdominal ultrasound, and CT,
and concurrently treat and manage fatty liver, chronic hepatitis B, and C.

Private space

All endoscopy rooms are independent and separate, so you can feel comfortable while undergoing the examination. In addition, the facility is equipped with the latest endoscopy equipment to ensure patient peace of mind .

Reliable skills

Treatment is provided by an endoscopic team that has performed over 5,000 therapeutic endoscopies and over 1,000 endoscopic cancer resection surgeries (ESD) on average per year. We provide detailed explanations from tumor diagnosis to endoscopic treatment process and results.

Rapid response

Endoscopic treatment may cause complications such as bleeding or perforation because it involves removing the tumor. Gangnam Gie Hospital has an emergency endoscopy team and an emergency surgery team on standby 24 hours a day, enabling a quick response.

Comfortable endoscope

All endoscope systems are equipped with carbon dioxide injection devices, and the carbon dioxide is expelled from the body 150 times faster than the air used in general endoscopes , minimizing discomfort after the examination.

Esophageal Disease

Endoscopy

Acalasia is suspected if food remains in the esophagus during endoscopy, even though the fasting time was observed before the examination.

Esophageal angiography

X-ray examination shows a lower esophagus narrowed by bird beak narrowing.

Esophageal manometry

During the internal pressure test, there is no peristaltic movement of the esophagus, and there is no relaxation of the sphincter connecting the gastroesophagus. (With the blue line connected below)

Ultrasonic endoscope

In the case of the lower esophagus, 1mm thickens to more than 5mm when the thickness of the normal muscle or achalasia occurs.

Step.1

Create a tunnel between the esophageal mucosa and muscle layers using an endoscope and enter the gastroesophageal sphincter

Step.2

Reduce sphincter pressure by incising damaged lesions using endoscopic knife

Step.3

When the incision is complete, close the submucosal tunnel entrance and end the treatment

Diagnosis and treatment at the same time

We provide precise diagnosis of digestive diseases through tests such as endoscopy, capsule endoscopy, abdominal ultrasound, and CT, and concurrently treat and manage fatty liver, chronic hepatitis B, and C.

Private space

All endoscopy rooms are independent and separate, so you can feel comfortable while undergoing the examination. In addition, the facility is equipped with the latest endoscopy equipment to ensure patient peace of mind .

Reliable skills

Treatment is provided by an endoscopic team that has performed over 5,000 therapeutic endoscopies and over 1,000 endoscopic cancer resection surgeries (ESD) on average per year. We provide detailed explanations from tumor diagnosis to endoscopic treatment process and results.

Rapid response

Endoscopic treatment may cause complications such as bleeding or perforation because it involves removing the tumor. Gangnam Gie Hospital has an emergency endoscopy team and an emergency surgery team on standby 24 hours a day, enabling a quick response.

Comfortable endoscope

All endoscope systems are equipped with carbon dioxide injection devices, and the carbon dioxide is expelled from the body 150 times faster than the air used in general endoscopes , minimizing discomfort after the examination.

We provide precise diagnosis of digestive diseases through tests
such as endoscopy, capsule endoscopy, abdominal ultrasound, and CT,
and concurrently treat and manage fatty liver, chronic hepatitis B, and C.