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Endoscopic stapling diverticulotomy: an audit of difficulties, outcome, and patient satisfaction
Carmen de Casso1, Muralidhar Lalam, Sudip Ghosh
1Ear, Nose, and Throat Department, Blackburn Royal Infirmary, Blackburn, UK.
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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