Endoscopic Removal of an Esophageal Fibrovascular Polyp

Fibrovascular polyps are intraluminal pedunculated esophageal polyps, which can produce devastating consequences if untreated. Therapy for these lesions is traditionally surgical, with esophagotomy. The present report describes a case of endoscopic removal of a fibro-vascular polyp, alleviating the need for hospitalization or further interventions. The natural history, clinical presentation, diagnostic evaluation, and therapies are reviewed.

References

• 1 Totten RS, Stout AP, Humphreys GH, Moore RL. Benign tumors and cysts of the esophagus.  J Thorac Surg. 1953;  25 606-22
• 2 Attah EB, Hajdu SI. Benign and malignant tumors of the esophagus at autopsy.  J Thorac Cardiovasc Surg. 1968;  55 396-404
• 3 Plachta A. Benign tumors of the esophagus.  Am J Gastroenterol. 1962;  38 639-52
• 4 Levine MS, Buck JL, Pantongrag-Brown L, et al. Fibrovascular polyps of the esophagus: clinical, radiographic, and pathologic findings in 16 patients.  Am J Roentgenol. 1996;  166 781-7
• 5 Liliequist B, Wiberg A. Pedunculated tumors of the oesophagus.  Acta Radiol Diagn. 1974;  15 383-92
• 6 Marcial-Rojas RA, Suan P. Epidermal carcinoma in mucosa overlying a pedunculated lipoma of the esophagus.  J Thorac Surg. 1959;  37 427-34
• 7 Moersch HJ, Harrington SW. Benign tumor of the esophagus.  Ann Otol Rhinol Laryngol. 1944;  53 800-17
• 8 Vrabec DP, Colley AT. Giant intraluminal polyps of the esophagus.  Ann Otol Rhinol Laryngol. 1983;  92 344-48
• 9 Avezzano EA, Fleischer DE, Merida MA, Anderson DL. Giant fibrovascular polyps of the esophagus.  Am J Gastroenterol. 1990;  85 299-302
• 10 Naveau S, Bedossa P, Mallet L, et al. Successful ablation of a large fibrovascular polyp of the esophagus by endoscopic Nd:YAG laser therapy.  Gastrointest Endosc. 1989;  35 254-6