Laparoscopy Endoscopy Cooperative Surgery for Inflammatory Fibroid Polyp in the Esophagus

Abstract

Inflammatory fibroid polyp (IFP) appears most often in the stomach. We herein report an extremely rare case of esophageal IFP resected using laparoscopy endoscopy cooperative surgery (LECS). A 73-year-old man with dysphagia underwent esophagogastroduodenoscopy. A 50-mm semi-pedunculated submucosal tumor was observed in the esophagogastric junction. Endoscopic ultrasonography showed a homogeneous, hypoechoic, and well-vascularized tumor in the second and third layers of the stomach, but endoscopic ultrasonography-guided fine-needle aspiration failed to establish a definite diagnosis. Since he was suffering from dysphagia, LECS was performed. The resected specimen proved that the tumor was an IFP originating from the esophagus.

Is laparoscopic and endoscopic cooperative surgery (LECS) for gastric subepithelial tumor at the esophagogastric junction safe?

“…The indications for LECS for gastric SET have gradually been expanded to include tumors that are technically difficult to resect, such as larger lesions and those located at the esophagogastric junction (EGJ), with improvement of the techniques 9,12 and, accordingly, revision of the treatment guideline recommendations in Japan. However, concern remains regarding the feasibility and safety of applying LECS in relatively difficult cases, with the outcomes of LECS, including those requiring advanced skills, still being largely unknown with only a few case reports in the literature 13,14 …”

Clinical characteristics and prognosis of inflammatory fibroid polyp in the gastrointestinal tract: A series of nine cases and a literature review

“…The tumor size ranged from 0.5 cm to 5 cm along the greatest diameter, with an average diameter of 2019 ( Table 2). [10][11][12][13][14][15][16][17][18][19][20] The most common symptoms of IFP are…”