Recommendation ID
IPG550/1
Question

Further research on endoscopic carbon dioxide laser cricopharyngeal myotomy for relief of oropharyngeal dysphagia could include the publication of collaborative audit data. Reports should separate outcomes for different groups of patients; in particular for patients with primary neuromuscular dysfunction alone, those with associated phargyngeal diverticula and those with dysphagia caused by radiotherapy. Outcome measures should include dysphagia scores, quality of life, long-term outcomes and the need for further treatment. All complications should be reported. NICE may update this guidance on publication of further evidence.

Any explanatory notes
(if applicable)

Current evidence on the safety and efficacy of endoscopic carbon dioxide laser cricopharyngeal myotomy for relief of oropharyngeal dysphagia is inadequate in quantity and quality. Therefore, this procedure should only be used with special arrangements for clinical governance, consent and audit or research.


Source guidance details

Comes from guidance
Endoscopic carbon dioxide laser cricopharyngeal myotomy for relief of oropharyngeal dysphagia
Number
IPG550
Date issued
March 2016

Other details

Is this a recommendation for the use of a technology only in the context of research? No  
Is it a recommendation that suggests collection of data or the establishment of a register?   No  
Last Reviewed 31/03/2016