Achalasia-Cardia Treatment In Pune

Achalasia-cardia is a rare type of swallowing dysfunction. Only about 1 person in every 100,000 are affected worldwide, but the number appears to be rising. The well-known gastrointestinal and laparoscopic surgeon, Dr. Samrat Jankar, says that achalasia-cardia is highly unusual and one of the most likely causes of swallowing difficulties.


Dr. Samrat Jankar is a renowned laparoscopic surgeon in Pune with extensive experience. He is proficient in advanced surgical approaches and believes that they can lessen patient trauma and reduce the chances of complications.


This article will look at what happens to people who have achalasia-cardia, its causes, symptoms, and treatment options.


What is achalasia-cardia?

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When you swallow the food you chew, it travels from your mouth through a muscular tube (esophagus) to your stomach. The LES (lower esophageal sphincter) is a ring of muscle that connects your esophagus to your stomach. 


This muscle relaxes and opens to let food into your stomach and then tightens and closes to keep the stomach contents from backing up into your esophagus. 


Achalasia-cardia is a rare condition in which your esophagus' nerves are destroyed, and it stops operating properly. As a result, your esophagus gradually gets paralyzed and dilated, losing its capacity to push food down into your stomach. 


The LES does not relax in achalasia-cardia, and thus food is unable to enter your stomach due to this muscle failure on the lower end part of your esophagus. The food then gathers in your esophagus, where it ferments and gets thrown back up into your mouth, leaving a bitter taste. 


Dr. Samrat Jankar says that this is sometimes mistaken for GERD (gastroesophageal reflux disease). However, the food in achalasia comes from your esophagus, whereas the stuff in GERD comes from your stomach.


Dr. Samrat Jankar is an acclaimed surgical gastroenterologist who is highly respected and trusted for providing one of the best achalasia-cardia treatments in Pune.


Who can get achalasia-cardia?


Achalasia-cardia has no known origin; however, it could be caused by injury to the nerves that assist the functioning of your throat, esophagus, stomach, and other sections of your digestive system.  


What damages these nerves and impacts their ability to function is unknown, but heredity, autoimmune illness, and even infections have all been suggested possibilities.


Achalasia affects roughly 1 out of every 100,000 persons globally each year. It is most typically detected in adults in the age group of 25 - 60, but it can also affect youngsters (fewer than 5 % of cases are seen in children below 16). 


The eminent laparoscopic surgeon, Dr. Samrat Jankar, who is known for providing reliable and effective achalasia-cardia treatment in Pune, says that no ethnic or racial groups are more affected than others. It can affect both men and women equally.


The disease does not pass down in families (except maybe in a rare type of disorder). When heredity is thought to be a cause in the very rare types of this illness, people born biologically as a male have twice the chance of being affected than people born as a female. 


People that have the following qualities are also more susceptible:

  • identical twins
  • first degree relatives (parent, sibling, or child) with genetic disorders like Parkinson's disease and Down syndrome

Other possible links to the development of this condition include things like:

  • Anorexia – a severe psychological eating disorder that makes a person restrict food intake to maintain a dangerously low weight
  • Lymphoma – cancer that starts in your immune system cells
  • Chagas disease – caused by a parasite that is transmitted by Triatominae bugs that are only found in Central and South America and Mexico
  • Neurodegenerative disorders - caused by damage to your nervous system and cells
  • Spinal cord injuries - damage to your spinal column's ligaments, vertebrae, discs, or the spinal cord itself
  • Stomach or gastric cancers – when cancer cells grow uncontrollably in your stomach

If you or a loved one wants to avail one of the best achalasia-cardia treatments in Pune, please visit the highly-experienced gastroenterologist Dr. Samrat Jankar. 


What are the symptoms of achalasia-cardia? 


Achalasia-cardia is mainly characterized by difficulty in swallowing. The muscle aperture (opening) that connects your throat and stomach does not open and close as it should. Due to this, food gets trapped in your esophagus and finally passes back up into your mouth.


Not only can trouble swallowing create nutritional deficiencies, but it can also induce a variety of additional symptoms, including:

  • slight chest discomfort and pain that comes and goes
  • aspiration - food passing from your esophagus into your lungs
  • persistent cough at night
  • dry eyes and mouth

These achalasia-cardia symptoms can cause malnutrition and weight loss. 


The fistula specialist, Dr. Samrat Jankar, adds that persons with achalasia-cardia may also get pneumonia due to aspirating (inhaling) food into their lungs. People with this illness appear to have an increased risk of acquiring esophageal cancer.


Dr. Samrat Jankar is a much sought-after surgeon in treating procedures including bariatric surgery, colorectal surgery, hernia surgery, and treatment for achalasia-cardia in Pune.


Is achalasia-cardia a severe disorder?


Yes, achalasia-cardia can be highly problematic, mainly if left untreated. 


Achalasia can result in significant weight loss as well as malnutrition. If you have achalasia, you will find it increasingly difficult to eat solid foods and drink liquids. Achalasia patients have a slightly higher risk of esophageal cancer, especially if they have had the illness for a long time. 


Regular esophageal screenings may be recommended by your healthcare professional to detect cancer early if it develops. 


If you are diagnosed with this condition, you must get achalasia-cardia treatment for a disorder of the esophagus.


Please do not hesitate to get in touch with the famous Dr. Samrat Jankar for a safe and effective achalasia-cardia treatment in Pune.


What is the achalasia-cardia treatment in Pune?


Endoscopy, minimally invasive therapy, or surgeries are commonly used to treat achalasia-cardia symptoms. 


The primary purpose of achalasia-cardia treatment is to alleviate swallowing difficulties and prevent any complications. Because the root cause of achalasia-cardia is not known completely, there are no treatments that can genuinely prevent or fix the disorder.


Surgery and medicines can be used based on the intensity of the problem and how well the patient can tolerate a surgical procedure.


Surgical procedures


The following methods can be used to treat people with a low risk of surgical complications:

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Pneumatic dilation:

 A balloon is placed into the esophagus and expanded to broaden the opening of the LES (lower esophageal sphincter). People who have this operation must frequently have it repeated.


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Laparoscopic Heller myotomy (LHM):


 Fundoplication is a surgery that bypasses the lower sphincter by bringing stomach tissue over the base of your esophagus. Because up to 97 % of patients respond well to this operation, it is regarded as a first-line intervention for achalasia-cardia.


Preoral endoscopic myotomy (POEM):


 A tube is inserted through your mouth, and the LES (lower esophageal sphincter) is opened and loosened with a small incision. This surgery is beneficial, although it is usually reserved for specific kinds of achalasia-cardia or when other procedures have failed.


Dr. Samrat Jankar says that each of these operations has the risk of surgical complications, the need for additional therapy, and the development of GERD (gastroesophageal reflux disease) when the lower sphincter loosens.




Medications such as muscle relaxants and nifedipine or isosorbide are sometimes used to treat achalasia-cardia symptoms. Changes in the texture and thickness of foods and liquids may also be beneficial.

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Botulinum toxin injections via an endoscope tube are also an option. This treatment is typically reserved for those who cannot endure surgery or have a poor prognosis.



How much does the achalasia-cardia treatment cost in Pune?


The cost of achalasia-cardia treatment in Pune ranges from Rs. 1,25,000 to Rs. 3,00,000 (Rupees one lakh twenty-five thousand to Rupees three lakh). The cost of achalasia-cardia treatment in India varies based on the private facilities in each city.


Several factors determine the cost: the patient's condition, the room chosen for the hospital stay, corporate schemes like EHS (Employees' Health Scheme), CGHS (Central Government Health Scheme, Employees' State Insurance, or cashless medical insurance coverage.


However, the cost of achalasia-cardia surgery and total medical stay in Pune is only about a quarter of what you would pay in a western country.


Why choose us?


Dr. Samrat Jankar is highly experienced and has extensive expertise and training in his profession. His patients receive definitive and outstanding therapy with delicate and sensitive care, guaranteeing a rapid recovery.


His dedication to mastering the most advanced and cutting-edge surgical procedures and applying them to all treatments guarantees that every patient receives the safest, most effective, and appropriate treatment.


Dr. Jankar believes in the value of clear communication and spends time explaining medical conditions and treatments to every patient so that they understand their health concerns entirely and set the right expectation.

Frequently Asked Questions

Cut the food into little, bite-sized pieces and consume it while sitting up straight. This allows gravity to assist in the movement of food through your esophagus.

Never lie down flat. Aspirating or getting food in your lungs is more likely due to this. Elevate your head while sleeping.

Avoid solid foods before going to bed.

Medications like nifedipine improve symptoms in 0% - 75% of patients with achalasia, whereas isosorbide improves symptoms in 53% - 87 %.

In up to 35% of persons with achalasia, Botox injections successfully relaxed their spastic esophageal sphincter muscles. 

Please note: The injections must be repeated every 6 – 12 months to sustain symptom relief.

This laparoscopic surgery/minimally invasive surgery is effective in 76 % - 100 % of patients with achalasia. 

Please note: About 15% of people develop symptoms of gastroesophageal reflux after surgery.

In 50 % - 93 % of persons with achalasia, balloon dilation improves symptoms. Remember that you may have to repeat the process to maintain the symptom relief.

Please note: Repeated dilations can cause a perforation (hole) in your esophagus.

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