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Iatrogenic perforation in endoscopic stapling diverticulotomy for pharyngeal pouches

Published online by Cambridge University Press:  08 March 2006

S. Mirza ,
S. N. Dutt  and
R. M. Irving
S. Mirza
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK
S. N. Dutt
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK
R. M. Irving
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK
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Abstract

In pharyngeal pouch surgery, the relatively new technique of endoscopic stapling diverticulotomy has a number of advantages over more traditional surgical treatments, such as Dohlman’s procedure and open pouch excision, and now seems to be the procedure of choice. However, a number of iatrogenic perforations and deaths have been reported with this procedure. We present three cases of iatrogenic perforations occurring during endoscopic stapling of a pharyngeal pouch by different surgeons in our unit, and review the management, causes and prevention of this potentially life-threatening complication.

Keywords

Zenker DiverticulumEndoscopyStaplesSurgical
Type
Review Article
Information
The Journal of Laryngology & Otology , Volume 117 , Issue 2 , February 2003 , pp. 93 - 98
Copyright
© Royal Society of Medicine Press Limited 2003

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