Endoscopic Removal of a Giant Fibrovascular Polyp of the Esophagus

Abstract

Giant fibrovascular polyps of the esophagus are life-threatening because of potential airway obstruction. This report describes the successful endoscopic removal of a giant fibrovascular polyp, avoiding the potential morbidity associated with a transcervical vertical esophagotomy.

Large Fibrovascular Polyp of the Hypopharynx With Dysphonia: Direct Laryngoscopic Removal

“…The 75% of the cases of PVP have been reported larger than 7 cm in the literature [6]. In our case, the mass was consistent with the literature as 7 cm in length.…”

“…In our case, it was originated from the hypopharynx. Even if the underlying pathophysiology is not fully well understood, polyps begin as submucosal thickening and grow until they reach very large sizes by the influence of the traction force by swallowing and peristaltism [6]. FVP usually occur as solitary masses welded from the hypopharynx as well as multiple polyps have been reported in the literature [4].…”

“…We think that this situation is due to the compression of the left hypopharyngeal polyp. Otherwise nonspecific respiratory symptoms such as chronic cough, dyspnea and recurrent pneumonia and emergency situations like as airway obstruction may be seen [1,2,6]. Regurgitation of the polyp to mouth is an engaging condition that can be approximately seen in half of the cases [9].…”

“…Local excision is sufficient for the treatment and recurrence is very rare [2,4]. The most frequently preferred method is transcervical approach due to the originated anatomic region as well as transoral, transcervical, transthoracic resection can be preferred according to the tumor location and size [6]. The combination of transabominal and transcervical approach for resection due to size of the tumor has been presented in literature [4].…”

Successful endoscopic removal of a giant upper esophageal inflammatory fibrous polyp

“…The presenting symptoms of dysphagia and sensation of a mass in esophageal inflammatory fibrous polyp are the same as in other esophageal tumors (such as leiomyoma and gastrointestinal stromal tumor), unless there is development of regurgitation of the polyp through the mouth or asphyxiation [9] . Some cases may stay asymptomatic or with heartburn for a long time [10,11] .…”