Persistent foreign body sensation and pharyngeal pain due to retention of staples: an interesting sequelae of endoscopic stapling procedure

Arunachalam, P. S.; Cameron, D. S.

doi:10.1258/0022215011907839

Cited by 11 publications

(11 citation statements)

References 7 publications

(3 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Four case reports detailing complications during endoscopic stapling were excluded from the meta-analysis as it was not possible to determine the overall rate of complications from the respective departments [20][21][22][23]. A correspondence letter proposing suitable criteria for day case pharyngeal pouch stapling was also excluded for lack of patient data [24], as was another which described a novel endoscopic surgical technique [25].…”

Section: Resultsmentioning

confidence: 99%

Endoscopic stapling of Zenker’s diverticulum: establishing national baselines for auditing clinical outcomes in the United Kingdom

Leong

Wilkie

Webb

2012

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

Endoscopic stapling of Zenker's diverticulum (ZD) is now established practice in the UK and is routinely performed by the vast majority of otolaryngologists. Both The National Confidential Enquiry into Peri-Operative Deaths and the National Institute for Health and Clinical Excellence recommended that the procedure be undertaken at specialist centres and that each department should audit their respective outcomes. Despite the abundance of review articles, it remains unclear what variables a meaningful audit is required to collate and what gold standards every department in the UK undertaking surgery for ZD should aspire to achieve. The objective was to review the outcomes of endoscopic stapling of Zenker's diverticulum at this institution. In addition, a review of other UK departments was undertaken to formulate minimum clinical standards and recommendations of best practice. Review of patient case notes and a structured search of PubMed were used as materials. Fifteen retrospective case series were identified from the literature search which fulfilled the inclusion criteria. Fifty-one patients were identified from the present audit. When these were added to the review, a total of 585 patients were available for meta-analysis. 540 (92.3%) were successfully stapled. Forty-five (7.7%) procedures were abandoned intra-operatively. The most common reason was difficulty assessing the small pouch. The majority of patients (92%) had resumed oral intake by the second post-operative day. Most patients (87%) were discharged by the second post-operative day. Outcomes were good with over 90% reporting resolved or significantly improved symptoms. Minor complications included dental trauma, transient hoarseness and sore throat causing delayed resumption of oral intake. The overall perforation rate was 4.8%. One death was reported. In conclusion endoscopic stapling of pharyngeal pouch is a safe procedure that is associated with good outcomes and low complication rates. No death has been reported since 2000 in the UK. The data presented in this review represent current clinical standards reported over the past 15 years by UK departments and serve as a useful benchmark for any future audits undertaken.

show abstract

Section: Resultsmentioning

confidence: 99%

Endoscopic stapling of Zenker’s diverticulum: establishing national baselines for auditing clinical outcomes in the United Kingdom

Leong

Wilkie

Webb

2012

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…Minor complications include sore throat, gingival or mucosal laceration, and dental damage. Temporary vocal cord paralysis74 and a persistent foreign body sensation from retained staples have been documented86. No deaths were reported in the series reviewed in Table 2 and the low morbidity rate makes the technique ideal for the poor‐risk patient.…”

Section: Evolution Of Surgerymentioning

confidence: 99%

Evolution of surgical treatment for pharyngeal pouch

Aly

Devitt

Jamieson

2004

British Journal of Surgery

View full text Add to dashboard Cite

Background: The development of endoscopic techniques, particularly endoscopic stapling, has led to a re-evaluation of the treatment of pharyngeal pouch. The pathophysiology and treatment of the condition is reviewed.Methods: An electronic literature search was undertaken on the pathophysiology, history and surgery of pharyngeal pouch (Zenker's diverticulum). These last two terms were used to the search the Cochrane, Medline and Embase databases (from 1966 to date) and the bibliographies of extracted articles. Results and conclusion:With recognition of the central role of the cricopharyngeus muscle in the pathogenesis of pouch formation, the emphasis on treatment has shifted from diverticulectomy to cricopharyngeal myotomy. Minimally invasive techniques have become established since the advent of endoscopic stapling devices. Although randomized controlled data are lacking, the endoscopic approach appears to offer advantages in terms of a shorter duration of anaesthesia, more rapid resumption of oral intake, shorter hospital stay and quicker recovery. It is associated with excellent success rates and minimal morbidity.

show abstract

“…Other minor morbidities reported in the literature include gingival or mucosal laceration, dental damage, neck and throat pain and haematoma. Temporary vocal cord paralysis has been reported 29 and persistent foreign body sensation from retained staples has also been documented 30 . One patient in the present series described a foreign body sensation transiently after surgery but the cause of this was uncertain.…”

Section: Discussionmentioning

confidence: 63%