Treatment of benign esophageal tumorsby endoscopic techniques

Kinney, Timothy P.; Waxman, Irving

doi:10.1016/s1043-0679(03)00004-2

Cited by 27 publications

(14 citation statements)

References 47 publications

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“…Polypoid lesions include Barrett esophagus-associated polypoid dysplasia, polypoid carcinoma, fundic gland polyps and hyperplastic polyps. 1 These masses are rare, often discovered incidentally, and are often asymptomatic as in our patient. 2,3 They may arise from the gastroesophageal junction or at sites of healing gastric mucosal ulceration.…”

mentioning

confidence: 49%

A Giant Esophageal Mass in a Patient Without Dysphagia

Reed

Woosley

Dellon

2016

Clinical Gastroenterology and Hepatology

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mentioning

confidence: 49%

A Giant Esophageal Mass in a Patient Without Dysphagia

Reed

Woosley

Dellon

2016

Clinical Gastroenterology and Hepatology

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“…Thus, a safe, efficacious, and cost‐effective method for therapeutic resection and histologic diagnosis of esophagogastric SMTs is desirable. Resection of SMTs using endoscopic mucosal resection (EMR) and endoscopic submucosal resection (ESD) have been previously described . However, these techniques are generally limited to SMTs arising from muscularis mucosa, whereas SMTs arising from muscularis propria have traditionally been resected surgically …”

Section: Introductionmentioning

confidence: 99%

Clinical outcomes of per‐oral endoscopic tumor resection for submucosal tumors in the esophagus and gastric cardia

Onimaru

Inoue

Bechara

et al. 2019

Digestive Endoscopy

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Objectives The clinical success of per‐oral endoscopic myotomy (POEM) has led to the development of a new field of ‘submucosal endoscopy’. This study aimed to evaluate the safety, efficacy, and limitations of per‐oral endoscopic tumor resection (POET) in the management of submucosal tumors (SMTs) in the esophagus and the gastric cardia. Methods POET was performed in 47 patients from January 2011 to December 2017. The indication for POET was SMTs ≤ 30 mm in minor axis diameter. Patient and tumor characteristics (age, gender, tumor location, size, and histology), operative and clinical results of POET (procedure time and completion rate, en bloc resection rate, length of hospitalization, adverse events and tumor recurrence) were analyzed retrospectively. Results POET was successfully completed in 43 patients (91.5%) without any major adverse events (Clavien‐Dindo IIIb‐IV). Four patients required conversion to an open surgical procedure due to suboptimal visualization during POET. Four patients underwent piecemeal resection of their SMTs including GISTs. Median follow‐up was 44 months (10–96 months), during that time, there were no incidences of tumor recurrence. Tumors that had a minor axis diameter > 30 mm or a tumor mass index (TMI) [major axis diameter (mm) × minor axis diameter (mm)] >1000 had a high likelihood of being converted to surgical resection. Conclusions POET is a safe and effective treatment for SMTs. However, in patients where the minor axis diameter is > 30 mm or the TMI > 1000, surgical excision should be considered. Furthermore, application of POET for SMTs with malignant potential should be carefully considered to ensure optimal oncologic outcomes.

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“…They have a prevalence of less than 0.5% [1] and constitute less than 1% of all esophageal tumors [2]. They are often asymptomatic and discovered incidentally at endoscopy or radioimaging [3,4]. There are various ways of classifying benign esophageal tumors such as classification by histological cell type (epithelial and non-epithelial tumors); classification by location in the esophageal wall (intramural and extramural tumors); and classification by endoscopic appearance (flat, raised, or cystic lesions) [1,[4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Multiple Esophageal Hyperplastic Polyps in a Nigerian Woman

Jemilohun¹,

Ajani²,

Ola³

2017

JCR

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Background: Hyperplastic polyps of the esophagus are rare lesions that are often associated with reflux esophagitis and hiatal hernia. They are frequently asymptomatic and discovered incidentally at endoscopy or radioimaging. Case Report: We present a 25-year-old female who had multiple nodules of the lower esophagus at endoscopy. Her major complaints were recurrent heartburn, regurgitation and epigastric pain. Sections of the biopsied esophageal nodules showed features that were consistent with hyperplastic polyp of the esophagus. Conclusion: Though the report of esophageal hyperplastic polyp from Nigeria is scarce in the literature, the rate of detection and reporting is likely to increase as gastrointestinal endoscopy services become more available and accessible in the country.

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Treatment of benign esophageal tumorsby endoscopic techniques

Cited by 27 publications

References 47 publications

A Giant Esophageal Mass in a Patient Without Dysphagia

A Giant Esophageal Mass in a Patient Without Dysphagia

Clinical outcomes of per‐oral endoscopic tumor resection for submucosal tumors in the esophagus and gastric cardia

Multiple Esophageal Hyperplastic Polyps in a Nigerian Woman

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