A rare case of giant fibrovascular polyp endoscopically resected with loop and cut technique Accepted Manuscript A rare case of giant fibrovascular polyp endoscopically resected with loop and cut tech[.]
Accepted Manuscript A rare case of giant fibrovascular polyp endoscopically resected with loop and cut technique Benedetto Mangiavillano, Maria Flavia Savarese, Federica Boeri, Corrado Ruggeri, Massimo Conio PII: S2468-4481(16)30095-9 DOI: 10.1016/j.vgie.2016.12.006 Reference: VGIE 56 To appear in: VideoGIE Received Date: 31 October 2016 Revised Date: 14 December 2016 Accepted Date: 16 December 2016 Please cite this article as: Mangiavillano B, Savarese MF, Boeri F, Ruggeri C, Conio M, A rare case of giant fibrovascular polyp endoscopically resected with loop and cut technique, VideoGIE (2017), doi: 10.1016/j.vgie.2016.12.006 This is a PDF file of an unedited manuscript that has been accepted for publication As a service to our customers we are providing this early version of the manuscript The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain ACCEPTED MANUSCRIPT A rare case of giant fibrovascular polyp endoscopically resected with loop and cut technique Benedetto Mangiavillano°, Maria Flavia Savarese*, Federica Boeri*, Corrado Ruggeri#, RI PT Massimo Conio* °GastrointestinalEndoscopy Unit – Humanitas Mater Domini – Castellanza (VA) *Gastroenterology & Gastrointestinal Endoscopy, General Hospital – Sanremo – Italy AC C Corresponding Author: EP TE D M AN U SC #Department of Pathology, General Hospital – Sanremo – Italy Benedetto Mangiavillano, MD Gastrointestinal Endoscopy Unit Humanitas - Mater Domini Via Gerenzano n.2, 21053– Castellanza (VA) tel: 0039 0331 476205 - 381 mail: b_mangiavillano@hotmail.com ACCEPTED MANUSCRIPT Giant fibrovascular polyps (GFVP) of the esophagus are a rare condition arising from the hypopharynx or from the cervical esophagus The GFVPs are generally benign, and the malignant transformation is uncommon (1) The majority of the GFVPs are diagnosed in men between 60 and 70 years of age and are more than cm (2,3) The most common symptoms are dysphagia, respiratory symptoms and polyp’s regurgitation (4) More rare is bleeding, odynophagia, and cough (5) RI PT An 88-year-old man with a history of coronary heart disease was referred to our endoscopic unit because of odynophagia and dysphagia for solid foods An esophagogastroduodenoscopy (EGDS) revealed a 10-cm peduncolated polyp (Fig 1), arising from the hypopharynx, jutting into the esophagus The CT scan confirmed the endoscopic finding SC Because of the patient’s symptoms, we decided to remove the polyp endoscopically Resection of the polyp was performed with the patient under deep sedation with propofol, after positioning an endoloop on the basis of the peduncle (video) The resection, carried out with dual-knife and hook-knife, was uneventful Food intake was started the day after M AN U The patient was discharged 48 hours later Histology diagnosed a giant fibrovascular polyp Legends Figure 1: EGD feature of the giant hypopharyngeal fibrovascular polyp Figure 2: Endoloop on the basis of the hypopharyngeal fibrovascular polyp TE D Figure 3: Resection with the dual-knife of the basis polyp Figure 4: Resection with the hook-knife of the basis polyp EP Figure 5: Giant hypopharyngeal fibrovascular polyp after resection Video: Video showing the resection of the giant fibrovascular polyp AC C References Sargent RL, Hood IC, Asphixiation caused by giant fibrovascular polyp of the esophagus Arch Pathol Lab Med 2006;130:725-7 I H, Kim JS, Shim YM Giant fibrovascular polyp of the hypopharynx: surgical treatment with the biappoach J Korean Med Sci 2006;21:749-51 Lee SY, Chan WH, Sivanandan R, Lin DT, Won WK Recurrent giant fibrovascular polyp of the esophagus World J Gastroenterol 2009;15:3697-700 Fries MR, Galindo RL, Flint PW, Abrahm SC Giant fibrovascular polyp of the esophagus A lesion causing upper airway obstruction and syncope Arch pathol Lab Med 2003; 127:485-7 Schuhmacher C, Becker K, Dittler HJ, Hofler H, Siewert JR, Stein HJ Fibrovascular esophageal polyp as a diagnostic challenge Dis Esophagus 200;13:324-7 AC C EP TE D M AN U SC RI PT ACCEPTED MANUSCRIPT AC C EP TE D M AN U SC RI PT ACCEPTED MANUSCRIPT AC C EP TE D M AN U SC RI PT ACCEPTED MANUSCRIPT AC C EP TE D M AN U SC RI PT ACCEPTED MANUSCRIPT AC C EP TE D M AN U SC RI PT ACCEPTED MANUSCRIPT ...ACCEPTED MANUSCRIPT A rare case of giant fibrovascular polyp endoscopically resected with loop and cut technique Benedetto Mangiavillano°, Maria Flavia Savarese*, Federica Boeri*, Corrado... n.2, 21053– Castellanza (VA) tel: 0039 0331 476205 - 381 mail: b_mangiavillano@hotmail.com ACCEPTED MANUSCRIPT Giant fibrovascular polyps (GFVP) of the esophagus are a rare condition arising from... feature of the giant hypopharyngeal fibrovascular polyp Figure 2: Endoloop on the basis of the hypopharyngeal fibrovascular polyp TE D Figure 3: Resection with the dual-knife of the basis polyp