Minimally Invasive Peroral Endoscopic Removal of a Regurgitated Giant Polysegmented Fibrovascular Polyp of the Esophagus

Authors: Iván, László1; Torkos, Attila2; Paczona, Róbert2; Szentpáli, Károly3; Jóri, József2

Source: Dysphagia, Volume 24, Number 2, June 2009 , pp. 230-233(4)

Publisher: Springer

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Abstract:

Giant fibrovascular polyps (FVP) are relatively rare benign neoplasms of the upper part of the esophagus. Without a previous history, their diagnosis might be difficult because the endoscopic findings are sometimes misinterpreted. The present report describes a case in which the patient regurgitated a giant polypoid mass into his mouth and captured it between his teeth and buccal surface until emergency endoscopic removal. Although the adequate therapy for these lesions is open surgical resection, most often via cervical esophagotomy, in our case the polyp was removed successfully by peroral endoscopy with minimally invasive surgery. After 5 years of follow-up the patient is doing well, without recurrence.

Keywords: Minimally invasive surgery; Endoscopy; Esophageal neoplasm; Fibrovascular polyp; Deglutition; Deglutition disorders

Document Type: Research article

DOI: 10.1007/s00455-008-9165-0

Affiliations: 1: Department of Oto-Rhino-Laryngology and Head and Neck Surgery, University of Szeged, H-6725, Szeged, Hungary, Email: Ivan@ORL.SZOTE.U-Szeged.hu 2: Department of Oto-Rhino-Laryngology and Head and Neck Surgery, University of Szeged, H-6725, Szeged, Hungary 3: Department of Surgery, University of Szeged, Szeged, Hungary

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