Gastroscopic removal of a giant fibrovascular polyp from the esophagus

Li, Jie; Yu, Hao; Pu, Renfu; Lu, Zhong-sheng

doi:10.1111/1759-7714.12319

Cited by 4 publications

(3 citation statements)

References 12 publications

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“…6 Ward et al removed a 16× 3 cm polyp using an endoscopic loop technique. 7 However, endoscopic removal of a polyp in its entirety is not always possible, and in some cases, it is difficult, as it may cause complications, which is confirmed by the reports of Li et al 8 . The authors removed a 6 cm polyp in small parts without being sure of radicality, and the operation was interrupted due to edema of the esophageal mucosa after 3 hours.…”

Section: Discussionmentioning

confidence: 87%

Less invasive transoral resection of esophageal fibrovascular polyps: case reports

Włodarczyk

Smęder

2022

Clin Endosc

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INTRODUCTIONEsophageal fibrovascular polyps (EFPs) are among the rarest benign esophageal tumors. In the available literature, only a few over 100 cases have been described. 1 The predominant symptoms of polyps are dysphagia, regurgitation, vomiting, and nonspecific chest pain, which increase with polyp size. The tumor is typically located in the cervical part of the esophagus or hypopharynx, can reach a huge size, and in certain circumstances, can be life-threatening. 2 Here, we present a method for endoscopic resection of giant EFPs. To our knowledge, this is the largest cohort of endoscopically treated patients in the literature.

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Section: Discussionmentioning

confidence: 87%

Less invasive transoral resection of esophageal fibrovascular polyps: case reports

Włodarczyk

Smęder

2022

Clin Endosc

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“…Sixty‐five case reports, [1, 2, 5, 6, 8, 10, 12, 13, 17–73] and two reviews [11, 74], published between 1955 and May 2020, were included in the systematic review. The total number of patients was 239, including 176 with lipoma and 63 with liposarcoma.…”

Section: Resultsmentioning

confidence: 99%

Esophageal Lipoma and Liposarcoma: A Systematic Review

et al. 2020

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Background Esophageal lipomatous tumors, also reported as fibrovascular polyp, fibrolipoma, angiolipoma, and liposarcoma, account for less than 1% of all benign mesenchymal submucosal tumors of the esophagus. Clinical presentation and therapy may differ based on location, size, and morphology. A comprehensive and updated systematic review of the literature is lacking. Methods A systematic review of the literature was performed according to PRISMA guidelines. Pubmed, Embase, Cochrane, and Medline databases were consulted using MESH keywords. Non-English written articles and abstracts were excluded. Sex, age, symptoms at presentation, diagnosis, tumor location and size, surgical approach and technique of excision, pathology, and morphology were extracted and recorded in an electronic database. Results Sixty-seven studies for a total of 239 patients with esophageal lipoma or liposarcoma were included in the qualitative analysis. Among 176 patients with benign lipoma, the median age was 55. The main symptoms were dysphagia (64.2%), transoral polyp regurgitation (32.4%), and globus sensation (22.7%). The majority of lipomas (85.7%) were intraluminal polyps, with a stalk originating from the upper esophagus. Overall, 165 patients underwent excision of the mass through open surgery (65.5%), endoscopy (27.9%), or laparoscopy/thoracoscopy (3.6%). Only 5 (3%) of patients required esophagectomy. Of the 11 untreated patients with an intraluminal polyp, 7 died from asphyxia. Overall, liposarcoma was diagnosed in 63 patients, and 12 (19%) underwent esophagectomy. Conclusion Esophageal lipomatous tumors are rare but potentially lethal when are intraluminal and originate from the cervical esophagus. Modern radiological imaging has improved diagnostic accuracy. Minimally invasive transoral and laparoscopic/thoracoscopic techniques represent the therapeutic approach of choice.

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“…Esophageal FVP are rare benign tumors consisting of a mixture of adipose, connective, and vascular tissue. 1 They most commonly originate in the upper third of the esophagus caused by redundant submucosal folds at the pharyngoesophageal junction. 2 FVPs are generally asymptomatic but as they grow they can cause dysphagia, gastrointestinal bleeding due to ulceration, sleep disturbances, and rarely lifethreatening obstruction of the airway.…”

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confidence: 99%

Giant Esophageal Fibrovascular Polyp: A Rare Cause of Dysphagia

Cano

Hair

Sealock

2017

Clinical Gastroenterology and Hepatology

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A 60-year-old man presented with progressive dysphagia to solids and liquids for 1 year. His dysphagia was associated with a 30-pound weight loss and intermittent melena. During this time his hemoglobin dropped by 2 g and his albumin to <2 g/dL. Barium esophagram revealed a large filling defect (Figure A). On esophagogastroduodenoscopy he was found to have a thick pedicle (20 cm in length) (Figure B) originating from the cervical esophagus with a (Figure C) large polypoid head (5 cm in diameter) with superficial ulceration, friability, granulation tissue, partially obstructing the gastroesophageal junction, and terminating in the proximal stomach. Superficial biopsies of the esophageal pedicle and polypoid head revealed squamous epithelium and granulation tissue respectively. Endoscopic ultrasound (Figure D) using a radial echoendoscope revealed a highly vascular esophageal

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Gastroscopic removal of a giant fibrovascular polyp from the esophagus

Cited by 4 publications

References 12 publications

Less invasive transoral resection of esophageal fibrovascular polyps: case reports

Less invasive transoral resection of esophageal fibrovascular polyps: case reports

Esophageal Lipoma and Liposarcoma: A Systematic Review

Giant Esophageal Fibrovascular Polyp: A Rare Cause of Dysphagia

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