Published online Nov 16, 2023. doi: 10.4253/wjge.v15.i11.666
Peer-review started: May 10, 2023
First decision: July 4, 2023
Revised: August 3, 2023
Accepted: September 22, 2023
Article in press: September 22, 2023
Published online: November 16, 2023
Processing time: 183 Days and 17.6 Hours
Fibrovascular polyps are rare type of esophageal submucosal neoplasms. They are highly vascularized and can cause difficulty swallowing and even fatal complications such as uncontrolled bleeding and death caused by asphyxiation in case of tumor migration to oropharynx. In the article we describe a novel hybrid technique to surgical treatment – an endoscopic submucosal dissection with laparoscopic removal of the tumor.
The patient with a giant fibrovascular esophageal polyp presented with cough, discomfort in the throat, difficulty swallowing, and an episode of tumor migration into oropharynx. The patient was investigated with several imaging studies and was diagnosed with a giant highly vascularized esophageal fibrovascular polyp. The follow-up period of eight months accompanied with no complications.
This method has been shown to have comparable rates of recurrence and a low risk of complications.
Core Tip: In our case the patient was investigated with several imaging studies and was diagnosed with a giant highly vascularized esophageal fibrovascular polyp. It is crucial to consider the size and vascularization of fibrovascular polyps when assume endoscopic removal as a treatment option and to carefully plan the surgical technique to avoid difficulties or discomfort during the procedure. However, there is an alternative approach to traditional surgical removal known as the endoscopic approach that can be both safe and effective for treating giant fibrovascular polyps in the esophagus. Therefore, the aim of our study is to demonstrate demonstrate a novel hybrid technique to surgical treatment – an endoscopic submucosal dissection with laparoscopic removal of the tumor.