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Safety and efficacy of endoscopic pharyngeal pouch stapling in a large UK study
Authors:A. Lieder  F. Nasseri  A. Sharma  P. Jani
Affiliation:Department of Otolaryngology, University of Cambridge Hospitals Foundation Trust, Addenbrooke’s Hospital, Cambridge, UK
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.
Keywords:
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