title: Safety and efficacy of endoscopic pharyngeal pouch stapling in a large UK study.
abstract: Endoscopic stapling of pharyngeal pouch is minimally invasive surgery, ensuing fast recovery and shorter hospitalisation, but previous small case series may have biased outcome. Perioperative and long-term outcome of endoscopic stapling of pharyngeal pouch were examined retrospectively in the largest (n = 62) UK case series. Stapling was not possible in seven patients because of small size of the pouch. Most patients made a full recovery immediately post-operatively. Two patients developed a leak at the stapling site, but critical complications or direct mortality were not observed. Persistence or recurrence of symptoms were observed in 18% of patients and successfully treated by revision endoscopic stapling or open procedure. We recommend endoscopic stapling for all patients with moderate or large pharyngeal pouches.
authors.forename: A
authors.initials: A
authors.lastname: Lieder
authors.forename: F
authors.initials: F
authors.lastname: Nasseri
authors.forename: A
authors.initials: A
authors.lastname: Sharma
authors.forename: P
authors.initials: P
authors.lastname: Jani
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019723:Endoscopes; D004724:Endoscopy / Q000009:adverse effects* / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D010614:Pharynx / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D017792:Surgical Stapling; D006113:United Kingdom