Endoscopic resection of a giant fibrovascular polyp of the oesophagus with the assistance of ultrasonic shears

Lobo, Niyati; Hall, Andrew J.; Weir, Justin; Mace, Alasdair

doi:10.1136/bcr-2015-214158

Cited by 5 publications

(4 citation statements)

References 16 publications

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“…Small polyps with a clearly identifiable stalk may be accessible by rigid or flexible endoscopy and excised with either by snare, ligature, endo-GIA stapler, Nd:YAG laser, or ultrasonic shears [3]. Larger lesions longer than 10 cm may be difficult to retrieve endoscopically and are better treated with surgical resection.…”

Section: Commentmentioning

confidence: 99%

Surveillance Is Important After Surgical Excision of Giant Fibrovascular Polyps of the Esophagus

Cockbain

England

Dexter

et al. 2017

The Annals of Thoracic Surgery

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Giant fibrovascular polyps of the esophagus are rare benign tumors arising from the cervical esophagus or hypopharynx. Radiologic and endoscopic investigation may struggle to identify a stalk or to delineate the tumor as luminal or submucosal in origin. Excision is advised, although the diagnosis, and therefore the optimal operative approach, may not be apparent until the time of operation. Individual case reports describe the technical success of surgical excision but rarely include follow-up. Our case series highlights the range of approaches for surgical excision and also the importance of long-term follow-up because of the risk of recurrence and potential for airway obstruction.

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Section: Commentmentioning

confidence: 99%

Surveillance Is Important After Surgical Excision of Giant Fibrovascular Polyps of the Esophagus

Cockbain

England

Dexter

et al. 2017

The Annals of Thoracic Surgery

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“…2 Polyp resection is recommended in all patients for controlling symptoms and eliminating the risk of asphyxiation. 3 Traditional excision commonly involves transcervical vertical esophagotomy. Endoscopic resection is technically feasible and avoids transcervical vertical esophagotomy-related morbidity.…”

mentioning

confidence: 99%

“…Endoscopic resection is technically feasible and avoids transcervical vertical esophagotomy-related morbidity. 3 Recently, endoscopic resection with ultrasonic shears, a needle-type knife, and an electrosurgical snare has been performed. [3][4][5] The Scissortype knife facilitates grasping the pedicle and enables simultaneous excision and coagulation while maintaining a stable view by use of only a single device.…”

mentioning

confidence: 99%

“…3 Recently, endoscopic resection with ultrasonic shears, a needle-type knife, and an electrosurgical snare has been performed. [3][4][5] The Scissortype knife facilitates grasping the pedicle and enables simultaneous excision and coagulation while maintaining a stable view by use of only a single device. Furthermore, the SB knife's capacity to grasp, assess, and then excise and coagulate target tissues enables safe and easy resection of large polyps with their stalk, which is challenging when the snare technique is used.…”

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confidence: 99%

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Endoscopic resection of a giant fibrovascular esophageal polyp by use of a scissor-type knife

et al. 2019

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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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Endoscopic resection of a giant fibrovascular polyp of the oesophagus with the assistance of ultrasonic shears

Cited by 5 publications

References 16 publications

Surveillance Is Important After Surgical Excision of Giant Fibrovascular Polyps of the Esophagus

Surveillance Is Important After Surgical Excision of Giant Fibrovascular Polyps of the Esophagus

Endoscopic resection of a giant fibrovascular esophageal polyp by use of a scissor-type knife

Esophageal Lipoma and Liposarcoma: A Systematic Review

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