Ferri Valentina, Vicente Emilio, Quijano Yolanda, Duran Hipolito, Diaz Eduardo, Fabra Isabel, Malave Luis, Ruiz Pablo, Isernia Roberta, Caruso Riccardo
Hospital Universitario Madrid Sanchinarro, General Surgery, Madrid, Spain.
Hospital Universitario Madrid Sanchinarro, General Surgery, Madrid, Spain.
Int J Surg Case Rep. 2022 Aug;97:107412. doi: 10.1016/j.ijscr.2022.107412. Epub 2022 Jul 13.
Giant fibrovascular esophageal polyp is a rare benign intraluminal tumour. The aim of this study is to perform a review of the most recent literature in order to describe and analyse the current range of possible diagnostics and treatment strategies.
We present two cases of giant fibrovascular esophageal polyp treated with a combined minimally invasive transluminal approach at Sanchinarro University Hospital. Further, we perform a literature review.
We present two cases of grant fibrovascular polyp submitted to minimally invasive transluminal approach. Furthermore, 54 original articles reporting 59 cases have been analysed. In the surgical group, an esophagotomy and polyp resection were performed in 31 (91 %) patients and a total esophagectomy in two patients (5,8 %). Severe morbidity occurred in two patients (5,8 %.) The median hospital stay was 9.25 days. A total of two (5,8 %) cases of recurrence have been registered. In the minimally invasive transluminal approach group, 27 patients had a polyp resection performed completely by endoscopy/transoral. There were no complications but there was one case of recurrence.
The transluminal approach is safe and should be considered also in the treatment of large esophageal polyps.
巨大纤维血管性食管息肉是一种罕见的良性腔内肿瘤。本研究的目的是回顾最新文献，以描述和分析当前可能的诊断和治疗策略的范围。
我们展示了在圣奇纳罗大学医院采用微创腔内联合方法治疗的两例巨大纤维血管性食管息肉病例。此外，我们进行了文献综述。
我们展示了两例采用微创腔内方法治疗的巨大纤维血管性息肉病例。此外，分析了54篇报道59例病例的原始文章。在手术组中，31例（91%）患者进行了食管切开术和息肉切除术，2例（5.8%）患者进行了全食管切除术。2例患者（5.8%）发生严重并发症。中位住院时间为9.25天。共记录到2例（5.8%）复发病例。在微创腔内治疗组中，27例患者通过内镜/经口完全切除了息肉。无并发症发生，但有1例复发。
腔内治疗方法是安全的，在治疗大型食管息肉时也应予以考虑。
