Safety and efficacy of endoscopic pharyngeal pouch stapling in a large UK study.
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.
Lieder
A
A
Nasseri
F
F
Sharma
A
A
Jani
P
P
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