Clin Endosc.  2022 Sep;55(5):683-687. 10.5946/ce.2021.144.

Less invasive transoral resection of esophageal fibrovascular polyps: case reports

• Włodarczyk J
• Smęder T

• KMID: 2533308
• DOI: http://doi.org/10.5946/ce.2021.144

Abstract

We report five patients treated for esophageal fibrovascular polyps using a minimally invasive technique. Esophageal fibrovascular polyps are benign pedunculated submucosal tumors of considerable size. The treated polyps size ranged from 1.5 to 13 cm. The polyps were removed by relocation to the oral cavity under endoscopic control. No perioperative complications occurred after the treatment. The follow-up of patients after surgery was 9–89 months, with no evidence of polyp recurrence. Thus, the described treatment is safe but requires experience with endoscopy as well as esophageal surgery.

Keyword

Esophagus, Minimal invasive; Fibrovascular polyps; Resection

Figure

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  Fig. 1. Computed tomography scan showing a giant esophageal polyp descending to the bifurcation of the trachea.

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  Fig. 2. Endoscopic image of the polyp. The arrow marks the polyp.

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  Fig. 3. Giant fibrovascular polyp moved outside the esophagus and the oral cavity.

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  Fig. 4. Grasping tool used to relocate the polyp into the oral cavity.

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  Fig. 5. Giant polyp of the esophagus: an intraoperative image.

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