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Pharyngeal pouch surgery in north Glasgow: NICE (National Institute for Health and Clinical Excellence) practice or not?
Yeo, J C L; Mackenzie, K.
Afiliação
  • Yeo JC; Department of Otolaryngology, Head and Neck Surgery, Glasgow Royal Infirmary, Scotland, UK.
J Laryngol Otol ; 124(5): 533-7, 2010 May.
Article em En | MEDLINE | ID: mdl-20025810
AIM: To evaluate endoscopic pharyngeal pouch surgery practice in north Glasgow by comparing it to National Institute for Health and Clinical Excellence recommendations. METHODS: We reviewed the case notes of patients who had undergone pharyngeal pouch surgery from 1998 to 2008. Data obtained included patient demographics, procedures performed, complications and outcomes. RESULTS: One hundred patient case notes were reviewed. Surgical procedures performed included endoscopic stapling (n = 58), endoscopic laser surgery (26), external excision (one), cricopharyngeal myotomy (two) and pharyngoscopy with dilatation (three). Endoscopic stapling was abandoned in 10 patients (14.7 per cent), three of whom declined further surgery. There was a 2.2 per cent perforation rate for endoscopic procedures. Twenty-one per cent of patients required further surgery. CONCLUSION: Our practice was not in keeping with National Institute for Health and Clinical Excellence recommendations. Our complication rates were similar to other published series, although our rates for abandoned and revision procedures were higher. We suggest that pharyngeal pouch surgical procedures should be undertaken only by otolaryngologists with a primary head and neck interest.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Prática Profissional / Divertículo de Zenker Tipo de estudo: Evaluation_studies / Guideline / Observational_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Região como assunto: Europa Idioma: En Revista: J Laryngol Otol Assunto da revista: OTORRINOLARINGOLOGIA Ano de publicação: 2010 Tipo de documento: Article País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Prática Profissional / Divertículo de Zenker Tipo de estudo: Evaluation_studies / Guideline / Observational_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Região como assunto: Europa Idioma: En Revista: J Laryngol Otol Assunto da revista: OTORRINOLARINGOLOGIA Ano de publicação: 2010 Tipo de documento: Article País de publicação: Reino Unido