Document Detail

Iatrogenic perforation in endoscopic stapling diverticulotomy for pharyngeal pouches.
MedLine Citation:
PMID:  12625879     Owner:  NLM     Status:  MEDLINE    
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.
S Mirza; S N Dutt; R M Irving
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The Journal of laryngology and otology     Volume:  117     ISSN:  0022-2151     ISO Abbreviation:  J Laryngol Otol     Publication Date:  2003 Feb 
Date Detail:
Created Date:  2003-03-10     Completed Date:  2003-04-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8706896     Medline TA:  J Laryngol Otol     Country:  England    
Other Details:
Languages:  eng     Pagination:  93-8     Citation Subset:  AIM; IM    
Department of Otolaryngology--Head and Neck Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK.
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MeSH Terms
Aged, 80 and over
Endoscopy, Digestive System / adverse effects*,  instrumentation
Pharynx / injuries*,  surgery
Surgical Stapling / adverse effects*,  instrumentation
Zenker Diverticulum / surgery*

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