Oral surgery for esophageal muscle relaxation in a patient in Abu Dhabi

Cleveland Clinic Abu Dhabi, a facility in the Mubadala Healthcare Network, performed the region's first endoscopic resection and relaxation of the esophageal muscle through the mouth as an alternative to traditional open surgery or laparoscopy, which was performed to treat a patient with insufficient muscle relaxation. Esophagus, a form of swallowing disorder.



The operation was performed by the director of endoscopy at the hospital, Dr. Muhammad Al-Haddad, and a specialist in general surgery, Dr. Kevin Hayek, under the supervision of the director of surgical endoscopy at the Cleveland Clinic in Ohio, Dr. Matthew Crowe.


Dr. Al-Haddad commented on this achievement, saying: “We are pleased to present the transoral endoscopic resection and relaxation of the esophagus muscle for the first time to patients in the country and the region. This medical procedure brings many benefits to our patients who suffer from swallowing problems and allows them to rapidly improve their quality of life. And this process demonstrates the hospital’s endeavor to provide the most advanced treatments in the world to the Emirati community, thanks to the close cooperation with the “Cleveland Clinic” in the United States, which ranked second in the world in gastroenterology and gastrointestinal surgery, according to the report issued by the American Foundation. (US News & World Report) is the leading provider of educational analysis and ratings.



Now, undergoing this procedure does not require an incision in the patient's chest, but rather is performed by the doctor through the mouth using an endoscope - a long, thin and flexible tube that carries surgical instruments at its end to cut the muscles of the esophagus that cause swallowing problems.

The operation is performed while the patient is under general anesthesia, and takes from one to three hours.

In addition, this operation requires less time in the hospital after it is performed, and sometimes allows for the possibility of leaving the hospital on the same day.



The operation of cutting and relaxing the muscle of the esophagus through endoscopy through the mouth is used to treat a range of swallowing disorders, especially the case of the inability to relax the esophagus in which the esophagus is unable to push food towards the stomach due to muscle spasm.

Achalasia is a rare disease, affecting 0.6 to 1.1 out of 100,000 people, and its symptoms include, but are not limited to, difficulty swallowing, reflux of undigested food, chest pain, and heartburn.



The endoscopic transoral resection and relaxation of the esophagus by doctors at Cleveland Clinic Abu Dhabi was successful, and the patient, who had been suffering from achalasia for more than ten years, recovered, improved swallowing and was able to resume his normal lifestyle. Only a few days after the operation.



Dr. Haddad has over 14 years of experience practicing gastroenterology in the region and the United States, and specializes in treating pancreatic diseases and advanced endoscopic procedures.

As for Dr. El-Hayek, he has more than 10 years of experience in surgery in the field of minimally invasive procedures, benign and malignant diseases of the upper gastrointestinal tract and endoscopy.

Both Dr. Al-Haddad and Dr. Al-Hayek underwent a comprehensive training program at the Cleveland Clinic in the United States, led by Dr. Kroh, who heads one of the world's rare programs to perform this procedure and train physicians in it.

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