title: Minimally invasive peroral endoscopic removal of a regurgitated giant polysegmented fibrovascular polyp of the esophagus.
abstract: Giant fibrovascular polyps (FVP) are relatively rare benign neoplasms of the upper part of the esophagus. Without a previous history, their diagnosis might be difficult because the endoscopic findings are sometimes misinterpreted. The present report describes a case in which the patient regurgitated a giant polypoid mass into his mouth and captured it between his teeth and buccal surface until emergency endoscopic removal. Although the adequate therapy for these lesions is open surgical resection, most often via cervical esophagotomy, in our case the polyp was removed successfully by peroral endoscopy with minimally invasive surgery. After 5 years of follow-up the patient is doing well, without recurrence.
authors.affiliation: Department of Oto-Rhino-Laryngology and Head and Neck Surgery, University of Szeged, H-6725, Szeged, Hungary. Ivan@ORL.SZOTE.U-Szeged.hu
authors.forename: László
authors.initials: L
authors.lastname: Iván
authors.forename: Attila
authors.initials: A
authors.lastname: Torkos
authors.forename: Róbert
authors.initials: R
authors.lastname: Paczona
authors.forename: Károly
authors.initials: K
authors.lastname: Szentpáli
authors.forename: József
authors.initials: J
authors.lastname: Jóri
mesh_terms: D003679:Deglutition; D003680:Deglutition Disorders / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000150:complications / Q000601:surgery*; D004941:Esophagitis / Q000150:complications; D006801:Humans; D057045:Laryngopharyngeal Reflux / Q000209:etiology / Q000601:surgery*; D007828:Laryngoscopy; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D011127:Polyps / Q000150:complications / Q000601:surgery