Peroral endoscopic removal: as a minimally invasive long-term surgical treatment of a regurgitated giant polisegmented fibrovascular polyp of the esophagus

• Published in: European archives of oto-rhino-laryngology Vol. 266; no. 7; pp. 1031 - 1034
• Main Authors: IVAN, Laszló, PACZONA, Róbert, SZENTPALI, Karoly, JORI, József
• Format: Journal Article
• Language: English
• Published: Heidelberg Springer 01-07-2009
• Subjects: Biological and medical sciences; Esophageal Neoplasms - surgery; Esophagoscopy; Humans; Male; Medical sciences; Middle Aged; Mouth; Otorhinolaryngology. Stomatology; Polyps - surgery; Endoscopic surgery; Treatment; Fibrovascular polyp; ENT; Endoscopy; Minimal invasiv surgery; Esophagus neoplasm; Long term; Esophagus; Polyp
• ISSN: 0937-4477; 1434-4726
• DOI: 10.1007/s00405-008-0766-x

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