Endoscopic stapling diverticulotomy: an audit of difficulties, outcome, and patient satisfaction.

Otolaryngol Head Neck Surg

Ear, Nose, and Throat Department, Blackburn Royal Infirmary, Blackburn, UK.

Published: February 2006

Objective: To evaluate the procedure in terms of technical difficulties, patient satisfaction, symptom relief, recurrence, and further management.

Study Design: Retrospective study including 41 patients who underwent endoscopic stapling diverticulotomy. Clinical notes were reviewed, and patients were sent a patient satisfaction questionnaire. Statistical analysis was done using the chi(2) square test.

Setting: Teaching hospital.

Results: Larger pouches had the best results; 81.578% were satisfied with the surgery, and 86.84% had improved swallowing. Complications presented in 6 patients (15%), including a perforated pouch and an esophageal perforation. Complications were more frequent in small pouches.

Conclusions And Significance: Endoscopic stapling diverticulotomy offers rapid recovery in most patients, with early oral intake and short hospital stay. There is a high degree of symptoms relief, and the patient's satisfaction rate is high. The assessment of the pharyngeal pouch size is an important factor when deciding the best management for a patient with a pharyngeal pouch.

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http://dx.doi.org/10.1016/j.otohns.2005.10.011DOI Listing

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