Endoscopic removal of a giant fibrovascular polyp of the esophagus

Annette M. Pham, Catherine J. Rees, Peter C Belafsky

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

Objectives: Giant fibrovascular polyps of the esophagus are rare benign tumors originating from the proximal esophagus. These pedunculated lesions can grow to "giant" proportions. Asphyxiation from aspiration of the regurgitated polyp is a well-described cause of death. Traditional excision has involved a transcervical vertical esophagotomy. This report describes the successful endoscopic removal of a giant fibrovascular polyp of the esophagus. Results: A 63-year-old man with dwarfism and obstructive sleep apnea was referred for evaluation of an esophageal mass that was intermittently regurgitated into the hypopharynx. Office esophagoscopy demonstrated a 10-cm giant fibrovascular polyp originating just below the cricoid cartilage. During endoscopic removal, the base of the lesion was exposed with a Weerda bivalved laryngoscope. Bipolar cautery combined with a snare was used to transect the base with excellent hemostasis. No esophageal leak was noted on an esophagogram on postoperative day 3. The patient then resumed a liquid diet and was discharged home, resuming a regular diet within a week. Conclusions: 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.

Original languageEnglish (US)
Pages (from-to)587-590
Number of pages4
JournalAnnals of Otology, Rhinology and Laryngology
Volume117
Issue number8
StatePublished - Aug 2008

Keywords

  • Benign tumor
  • Endoscopic management
  • Esophageal mass
  • Esophagus
  • Giant fibrovascular polyp
  • Polyp

ASJC Scopus subject areas

  • Otorhinolaryngology

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