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Optimising endoscopic stapling of pharyngeal pouches

Published online by Cambridge University Press:  30 January 2012

A Moore ,
A Vijendren ,
R Rajagopal  and
P Spraggs
A Moore*
Affiliation:
Department of ENT, St George's Healthcare NHS Trust, London, UK
A Vijendren
Affiliation:
Department of ENT, Basingstoke and North Hampshire NHS Foundation Trust, Basingstoke, UK
R Rajagopal
Affiliation:
Department of ENT, Basingstoke and North Hampshire NHS Foundation Trust, Basingstoke, UK
P Spraggs
Affiliation:
Department of ENT, Basingstoke and North Hampshire NHS Foundation Trust, Basingstoke, UK
*
Address for correspondence: Mr Andrew Moore, 49 Cowper Street, Hove BN3 5BN, UK Fax: +44 (0)208 725 3306 E-mail: andy.moore@doctors.org.uk
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Abstract

Background:

Endoscopic hypopharyngeal diverticulotomy is now largely performed using an endoscopic stapling device. A poorly applied endoscopic stapling device can result in incomplete division of the cricopharyngeal bar, necessitating the application of a second set of staples. Applying more than one set of staples is associated with an increased risk of complications and greater cost. Small pharyngeal pouches are difficult to staple because of difficulties engaging the stapling device over the cricopharyngeal bar.

Method:

Two pairs of oesophageal forceps are used in conjunction with a 0 degree Hopkins rod to optimise the endoscopic stapling of small and large pharyngeal pouches.

Results and conclusion:

Applying grasping forceps to the cricopharyngeal bar improves the accuracy of the stapling procedure, thus reducing the morbidity and cost associated with multiple staple applications.

Keywords

Zenker DiverticulumPharyngeal DiverticulumSurgical StaplingEndoscopyForceps
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 4 , April 2012 , pp. 407 - 408
Copyright
Copyright © JLO (1984) Limited 2012

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References

1Martin-Hirsch, DP, Newbegin, CJ. Autosuture GIA gun: a new application in the treatment of hypopharyngeal diverticula. J Laryngol Otol 1993;107:723–5CrossRefGoogle Scholar
2National Institute for Health and Clinical Excellence. Endoscopic Stapling of Pharyngeal Pouch. London: NICE, 2003Google Scholar
3Roth, JA, Sigston, E, Vallance, N. Endoscopic stapling of pharyngeal pouch: a 10-year review of single versus multiple staple rows. Otolaryngol Head Neck Surg 2009;140:245–9CrossRefGoogle Scholar
4Jaramillo, MJ, McLay, KA, McAteer, D. Long-term clinico-radiological assessment of endoscopic stapling of pharyngeal pouch: a series of cases. J Laryngol Otol 2001;115:462–6CrossRefGoogle Scholar