Precise diagnosis first
Digital imaging, laboratory work-up and specialist evaluation confirm the exact cause before any treatment is advised.
Third Space Endoscopy (POEM/ESD) in Ahmedabad, Gujarat
Advanced incision-less endoscopic surgery for achalasia and early gastrointestinal tumours, with faster recovery.
What Is Third Space Endoscopy?
"Third space" refers to the submucosal layer within the wall of the gut — a working space between the inner lining and the outer muscle that endoscopists can tunnel through to reach and treat problems that once required open or laparoscopic surgery. POEM and ESD are the two main procedures performed in this space.
- Treats achalasia (POEM) and removes early gastrointestinal tumours (ESD)
- No external incision — the entire procedure is done through the mouth
- Replaces what previously needed major surgery
- Markedly shorter hospital stay and recovery than surgical alternatives
Third Space Endoscopy (POEM/ESD) in Ahmedabad
Advanced incision-less endoscopic surgery for achalasia and early gastrointestinal tumours, with faster recovery.
Third space endoscopy covers advanced procedures such as POEM and ESD, performed in the layer within the gut wall. They allow us to treat achalasia and remove early tumours without any external incision.
Dr. Neil B. Palkhiwala, Consultant Gastroenterologist with 12+ years of experience, performs third space endoscopy at Aryav Super Speciality Hospital in Science City, Sola, Ahmedabad, Gujarat — easily reached from Bhadaj, Shilaj, Ghatlodiya, Gota, Thaltej, Hebatpur, Memnagar and Gurukul.
These techniques require specialised training and equipment. They replace what previously needed major surgery, with markedly shorter recovery.
At Aryav Super Speciality Hospital, Sola, Ahmedabad, Gujarat, this treatment is planned and performed by Dr. Neil B. Palkhiwala and the clinical team, supported by advanced imaging, modular operation theatres, dedicated intensive care and an in-house rehabilitation unit.
Conditions Treated with POEM & ESD
- Achalasia cardia with difficulty swallowing
- Early gastrointestinal cancers confined to the lining
- Large flat polyps unsuitable for standard removal
- Submucosal tumours such as GIST in selected cases
How These Procedures Work
- 1
A small opening is created in the inner lining of the gut.
- 2
A tunnel is developed within the wall to reach the target.
- 3
POEM divides the tight muscle in achalasia; ESD dissects out an early tumour in one piece.
- 4
The entry point is closed with clips from inside.
POEM and ESD Explained
POEM (Peroral Endoscopic Myotomy)
Used for achalasia, a condition where the muscle at the lower end of the food pipe fails to relax, causing difficulty swallowing. A tunnel is created within the wall of the food pipe to reach and precisely divide the tight muscle from the inside, relieving the obstruction with no external cut.
ESD (Endoscopic Submucosal Dissection)
Used to remove early gastrointestinal cancers and large flat polyps confined to the superficial layers of the gut wall, dissecting the lesion out in one complete piece for accurate pathological assessment — something conventional endoscopic removal often cannot achieve for larger or flatter lesions.
Preparing for Third Space Endoscopy
Our team gives you exact instructions at booking, but these are the essentials most patients are asked to follow.
- Detailed pre-procedure evaluation, including relevant imaging or manometry
- Fast for the period advised before general anaesthesia
- Tell us about blood-thinning medicines and regular medications in advance
- Plan for a short hospital stay of one to two days
- Arrange for someone to accompany you home after discharge
Recovery and follow-up
- A short hospital stay of one to two days is usual.
- A contrast study may be done before starting oral fluids.
- Diet advances from liquids to normal food over about two weeks.
Dr. Neil Palkhiwala – Third Space Endoscopy (POEM/ESD) Specialist in Ahmedabad, Gujarat
Dr. Neil B. Palkhiwala
Consultant Gastroenterologist & Hepatologist
MBBS, MD, DM, MRCP SCE (UK)
Dr. Neil B. Palkhiwala is a highly qualified and compassionate Consultant Gastroenterologist and Hepatologist, committed to delivering comprehensive digestive and liver care with a patient-first approach. He is the Founder and Director of Aryav Superspeciality Hospital in Ahmedabad, Gujarat.
View full profileWhy patients choose Aryav
Minimally invasive where possible
Modern techniques and modular operation theatres help reduce tissue damage, blood loss and hospital stay.
Transparent planning
Every option — medical, endoscopic or surgical — is explained with expected outcomes, recovery time and cost.
Recovery support
Physiotherapy, diet guidance and scheduled reviews continue well after discharge.
Frequently asked questions about third space endoscopy (poem/esd)
Who performs POEM and ESD at Aryav Super Speciality Hospital?
Dr. Neil B. Palkhiwala, Consultant Gastroenterologist with over 12 years of experience, is trained in these advanced endoscopic techniques and personally performs every third space endoscopy procedure at Aryav.
Is POEM better than surgery for achalasia?
It gives comparable relief of swallowing difficulty with no external incision and a shorter hospital stay than surgical myotomy.
Can early cancer really be cured endoscopically?
Yes. When it is confined to the superficial layers of the gut wall, ESD can achieve complete removal in one piece, avoiding major surgery.
How long does the procedure take?
Usually one to two hours under general anaesthesia, depending on the complexity of the case.
Is third space endoscopy safe?
Yes, in experienced hands. As with any advanced procedure, risks depend on the specific case; these are discussed with you in detail beforehand.
How long is the hospital stay?
Typically one to two days, with diet advancing gradually from liquids to normal food over about two weeks.
Where can I get POEM or ESD near Sola or Science City, Ahmedabad?
Dr. Neil B. Palkhiwala performs third space endoscopy at Aryav Super Speciality Hospital, Science City, Sola, Ahmedabad — convenient for patients from Bhadaj, Shilaj, Ghatlodiya, Gota, Thaltej, Hebatpur, Memnagar and Gurukul.
Related gastro treatments in Ahmedabad
Need expert advice on your condition?
Speak to our gastroenterology and orthopaedic specialists at Aryav Super Speciality Hospital, Ahmedabad. Same-day consultations available.