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Interdisciplinary Journal of Gastroenterology, Hepatology and Endoscopy

IJGHE

Aabstract

Case Report

Combined Approach to a Giant Esophageal Polyp: Case Report and Literature Review

Krasimir Ivanov, Valentin Ignatov, Dilyan Petrov, Anton Tonev, Aleksandar Zlatarov, Boryana Naydenova, Nikolay Sapundzhiev, Nikola Kolev

Correspondence Address :

Anton Tonev
Department of General and Operative Surgery
Medical University "Prof. Paraskev Stoyanov" of Varna
Bulgaria
Email: teraton@abv.bg

Received on: November 16, 2017, Accepted on: November 28, 2017, Published on: December 06, 2017

Citation: Krasimir Ivanov, Valentin Ignatov, Dilyan Petrov, et al. (2017). Combined Approach to a Giant Esophageal Polyp: Case Report and Literature Review

Copyright: 2017 C. Anton Tonev, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • Abstract

Abstract
Benign esophageal tumours are less common than esophageal malignancies. Benign lesions may reach gigantic size and then provoke dysphagia, chest pain, food regurgitation, and weight loss typical of other more common diseases of the esophagus. There are scanty reports in the literature available describing different approaches in the surgical treatment of giant esophageal polyps. We present a case of a 65-year-old male patient with a 14.5x5.5x4 cm fibrovascular esophageal polyp originating from the hypopharynx. The diagnostic modalities include endoscopy, computer tomography, magnetic-resonance imaging, and virtual angiography. Under general anesthesia with transnasal endotracheal reinforced tube, an endoscopic approach by using of a Weerda distending diverticuloscope is achieved. Manipulations are performed with a flexible gastroscope and 10 mm 30 degree angled laparoscope. The flexible endoscope passes easily around the mass and reaches the stomach without any signs of esophageal wall injury. After catching the polyp's pedicle with a suture loop, it is sclerotized and resected with 5-mm laparoscopic Ligasure. There are no pertinent publications on this approach in the literature available yet. Because of the considerable polyp size, a transgastric extraction is carried out. The postoperative course is uneventful. There is no recurrence after two-year follow-up.

Keywords: Gastrointestinal endoscopic surgery, Giant esophageal fibrovascular polyp, Weerda diverticuloscope, Ligasure, Bipolar tissue sealing device

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