Endoscopic submucosal dissection as a diagnostic procedure for a giant submucosal “sausage” causing dysphagia

Abstract

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Reply to Matsushita et al.

“…We thank Matsushita et al for their comment on our report of a giant lymphangioma of the esophagus [1]. They believed that endoscopic submucosal dissection (ESD) is too invasive and risky for the resection of such a benign lesion.…”

Unroofing technique: effective “incomplete” endoscopic resection of large esophageal lymphangiomas

“…We read with interest the article by Dahan et al [1] on a large symptomatic esophageal lymphangioma resected by endoscopic submucosal dissection (ESD). After computed tomography and endosonography revealed potentially benign features, the authors resected the lesion en bloc by ESD without complications.…”

“…Although ESD enables complete en bloc resection of large mucosal cancers, it requires a long procedure time and is associated with technical difficulties and a high risk of complications [5]. Dahan et al [1] resected the large lymphangioma en bloc by ESD but fragmented it and extracted the pieces because of its large size. Endoscopic piecemeal resection of esophageal lymphangioma is also reported without complications or remnants [4].…”