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A multi-centre analysis of a decade of endoscopic pharyngeal pouch surgery in Cheshire and Merseyside

Published online by Cambridge University Press:  03 November 2020

T Hampton ,
J Allan ,
D Pearson ,
H Emerson ,
G H Jones ,
M Junaid ,
T Kanzara ,
A S Lau ,
R Siau  and
S P Williams
...Show all authors
T Hampton*
Affiliation:
Mersey ENT Trainee Research Collaborative, Liverpool University Hospitals NHS Foundation Trust, UK Department of ENT Surgery, Liverpool University Hospitals NHS Foundation Trust, UK
J Allan
Affiliation:
Mersey ENT Trainee Research Collaborative, Liverpool University Hospitals NHS Foundation Trust, UK Department of ENT Surgery, Wirral University Teaching Hospital NHS Foundation Trust, Birkenhead, UK
D Pearson
Affiliation:
Mersey ENT Trainee Research Collaborative, Liverpool University Hospitals NHS Foundation Trust, UK Department of ENT Surgery, Wirral University Teaching Hospital NHS Foundation Trust, Birkenhead, UK
H Emerson
Affiliation:
Mersey ENT Trainee Research Collaborative, Liverpool University Hospitals NHS Foundation Trust, UK Department of ENT Surgery, Warrington and Halton Teaching Hospitals NHS Foundation Trust, Warrington, UK
G H Jones
Affiliation:
Mersey ENT Trainee Research Collaborative, Liverpool University Hospitals NHS Foundation Trust, UK Department of ENT Surgery, Liverpool University Hospitals NHS Foundation Trust, UK
M Junaid
Affiliation:
Mersey ENT Trainee Research Collaborative, Liverpool University Hospitals NHS Foundation Trust, UK Department of ENT Surgery, Warrington and Halton Teaching Hospitals NHS Foundation Trust, Warrington, UK
T Kanzara
Affiliation:
Mersey ENT Trainee Research Collaborative, Liverpool University Hospitals NHS Foundation Trust, UK Department of ENT Surgery, Mid Cheshire Hospitals NHS Trust, Crewe, UK
A S Lau
Affiliation:
Mersey ENT Trainee Research Collaborative, Liverpool University Hospitals NHS Foundation Trust, UK Department of ENT Surgery, Wirral University Teaching Hospital NHS Foundation Trust, Birkenhead, UK
R Siau
Affiliation:
Mersey ENT Trainee Research Collaborative, Liverpool University Hospitals NHS Foundation Trust, UK Department of ENT Surgery, Liverpool University Hospitals NHS Foundation Trust, UK
S P Williams
Affiliation:
Mersey ENT Trainee Research Collaborative, Liverpool University Hospitals NHS Foundation Trust, UK Department of ENT Surgery, Countess of Chester Hospital NHS Foundation Trust, Chester, UK
M D Wilkie
Affiliation:
Mersey ENT Trainee Research Collaborative, Liverpool University Hospitals NHS Foundation Trust, UK Department of ENT Surgery, Liverpool University Hospitals NHS Foundation Trust, UK
*
Author for correspondence: Mr T Hampton, Mersey ENT Trainee Research Collaborative, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK E-mail: Thomas.hampton@nhs.net
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Abstract

Background

There are sparse data on the outcomes of endoscopic stapling of pharyngeal pouches. The Mersey ENT Trainee Collaborative compared regional practice against published benchmarks.

Methods

A 10-year retrospective analysis of endoscopic pharyngeal pouch surgery was conducted and practice was assessed against eight standards. Comparisons were made between results from the tertiary centre and other sites.

Results

A total of 225 procedures were performed (range of 1.2–9.2 cases per centre per year). All centres achieved 90 per cent resumption of oral intake within 2 days. All centres achieved less than 2-day hospital stays. Primary success (84 per cent (i.e. abandonment of endoscopic stapling in 16 per cent)), symptom resolution (83 per cent) and recurrence rates (13 per cent) failed to meet the standard across the non-tertiary centres.

Conclusion

Endoscopic pharyngeal pouch stapling is a procedure with a low mortality and brief in-patient stay. There was significant variance in outcomes across the region. This raises the question of whether this service should become centralised and the preserve of either tertiary centres or sub-specialist practitioners.

Keywords

PharynxZenker DiverticulumEndoscopyBenchmarkingRetrospective Studies
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 10 , October 2020 , pp. 925 - 930
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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Footnotes

Mr T Hampton takes responsibility for the integrity of the content of the paper

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