The endoscopic stapler has achieved widespread use in the management of Zenker's diverticulum owing to its ease of use and safety. However, complications associated with its use can and do occur. This study details the treatment course of 2 patients who underwent an endoscopic stapler approach to their Zenker's diverticulum complicated by the stapler's not sealing the mucosal edges. Although the patients' hospital stays were extended as a result, they suffered no long-term morbidity as a result of the complication.
ChangCYPayyapilliRJScherRL. Endoscopic staple diverticulostomy for Zenker's diverticulum: Review of literature and experience in 159 consecutive cases. Laryngoscope2003;113:957–65.
2.
HiltonMBrightwellAP. Oesophageal perforation during stapling of a pharyngeal pouch: Adverse clinical incident report. J Laryngol Otol2000;114:549–50.
3.
ScherRLRichtsmeierWJ. Long-term experience with endoscopic staple-assisted esophagodiverticulostomy for Zenker's diverticulum. Laryngoscope1998;108:200–5.
4.
RichtsmeierWJMonzonJR. Postendoscopic Zenker esophagodiverticulostomy leaks associated with a specific stapler cartilage. Arch Otolaryngol Head Neck Surg2002;128:137–40.
5.
NixPA. Delayed oesophageal perforation following endoscopic stapling of a pharyngeal pouch. J Laryngol Otol2001;115:668.
6.
MirzaSDuttSNIrvingRM. Iatrogenic perforation in endoscopic stapling diverticulotomy for pharyngeal pouches. J Laryngol Otol2003;117:93–8.
7.
RautVVPrimroseWJ. Long-term results of endoscopic stapling diverticulotomy for pharyngeal pouches. Otolaryngol Head Neck Surg2002;127:225–9.
8.
RichtsmeierWJ. Myotomy length determinants in endoscopic staple-assisted esophagodiverticulostomy for small Zenker's diverticula. Ann Otol Rhinol Laryngol2005;114:341–6.