Liu Lu, Miao Feng, Guo Hai-Mei, Li Nuo, Jiao Shu-Hua, Cai Shuang, Liu Peng-Liang, Zhang Shan-Shan, Ma Jia, Weng Yang, Sun Ying, Tang Yin-Si, Zhao Feng, Zheng Yan, Zhang Shen, Yang Yan, Yu Yang, Tian Lei, Zhao Zhi-Feng
Department of Gastroenterology, The Fourth Affiliated Hospital of China Medical University, Shenyang, 110000 Liaoning Province, China.
Department of Gastroenterology, The First Affiliated Hospital of Jinzhou Medical University, Jinzhou, 121001 Liaoning Province, China.
Gastroenterol Res Pract. 2020 Feb 14;2020:3581267. doi: 10.1155/2020/3581267. eCollection 2020.
Angiolipoma in the region of the hypopharynx-esophageal introitus is a rare occurrence. Surgical treatment was performed in the few cases reported in the literature. Endoscopic submucosal dissection (ESD) is a minimally invasive treatment for hypopharyngeal and esophageal lesions. Our objective was to evaluate the feasibility, safety, and efficacy of ESD for treatment of angiolipoma at the hypopharynx-esophageal introitus. The patients with submucosal tumors at the hypopharynx-esophageal introitus were diagnosed as angiolipoma by preoperative evaluation with endoscopy, endoscopic ultrasonography, and computed tomography (CT). The patients who were diagnosed with angiolipoma agreed to undergo endoscopic submucosal dissection. Under general anesthesia and endotracheal intubation, ESD was used to remove the lesions. Preoperative, intraoperative, and postoperative data were collected and analyzed to evaluate the feasibility, safety, and effectiveness of endoscopic submucosal dissection. From January 2013 to December 2018, 6 cases of angiolipoma were treated with ESD with a success rate of 100%. The average operation time was 107.0 ± 69.4 minutes. Intraoperative blood loss is the main risk. Endoscopic thermocoagulation successfully stopped bleeding in all cases. Pharyngeal pain and painful swallowing were the main clinical signs. There was no stricture at the hypopharynx-esophageal introitus after the operation. ESD treatment of angiolipoma at hypopharynx-esophageal introitus is feasible, safe, and effective.
下咽-食管入口处血管脂肪瘤较为罕见。文献报道的少数病例采用了手术治疗。内镜黏膜下剥离术（ESD）是治疗下咽和食管病变的一种微创治疗方法。我们的目的是评估ESD治疗下咽-食管入口处血管脂肪瘤的可行性、安全性和有效性。通过术前内镜检查、内镜超声检查和计算机断层扫描（CT）评估，将下咽-食管入口处黏膜下肿瘤患者诊断为血管脂肪瘤。被诊断为血管脂肪瘤的患者同意接受内镜黏膜下剥离术。在全身麻醉和气管插管下，采用ESD切除病变。收集并分析术前、术中和术后数据，以评估内镜黏膜下剥离术的可行性、安全性和有效性。2013年1月至2018年12月，6例血管脂肪瘤患者接受了ESD治疗，成功率为100%。平均手术时间为107.0±69.4分钟。术中出血是主要风险。所有病例均通过内镜热凝成功止血。咽部疼痛和吞咽疼痛是主要临床症状。术后下咽-食管入口处无狭窄。ESD治疗下咽-食管入口处血管脂肪瘤是可行、安全且有效的。
