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Safety and efficacy of endoscopic pharyngeal pouch stapling in a large UK study
Author(s) -
Lieder A.,
Nasseri F.,
Sharma A.,
Jani P.
Publication year - 2008
Publication title -
clinical otolaryngology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.914
H-Index - 68
eISSN - 1749-4486
pISSN - 1749-4478
DOI - 10.1111/j.1749-4486.2008.01639.x
Subject(s) - medicine , pouch , surgery , perioperative , pharyngeal pouch , leak , environmental engineering , engineering
Keypoints• 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.