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Tips for improving access in endoscopic stapling of pharyngeal pouch
1ENT, Leicester Royal Infirmary, Leicester, UK bassemadel@hotmail.com.
BMJ Case Reports
|December 1, 2020
Summary
Endoscopic stapling effectively treats symptomatic pharyngeal pouches. Using a standard pharyngoscope with stapling aids difficult access cases, preventing open surgery.
Area of Science:
- Gastroenterology
- Surgical Innovation
Background:
- Pharyngeal pouches (Zenker's diverticulum) cause dysphagia and regurgitation.
- Endoscopic stapling is the gold standard for treating symptomatic pharyngeal pouches.
- Accessing pouches via standard endoscopy can be challenging.
Observation:
- A modified endoscopic stapling technique using a standard pharyngoscope was employed.
- This approach was applied to patients with difficult access to the pharyngeal pouch.
Findings:
- The modified endoscopic stapling technique proved successful even in challenging cases.
- This method facilitated pouch treatment without requiring conversion to open surgery.
Implications:
- This technique expands the applicability of endoscopic stapling for pharyngeal pouches.
- It offers a less invasive treatment option, potentially reducing morbidity and recovery time.
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