Successful ablation of a large fibrovascular polyp of the esophagus by endoscopic Nd:YAG laser therapy
作者： S. Naveau , P. Bedossa , L. Mallet , L. Turner , T. Poynard
DOI: 10.1016/S0016-5107(89)72770-X
关键词: Surgery 、 Esophageal Obstruction 、 Esophagus 、 Vascularity 、 Esophageal Polyp 、 Thoracotomy 、 Laryngeal Obstruction 、 Medicine 、 Ablation 、 Benign tumor
摘要: Although its occurrence is rare, fibrovascular polyp the most common intraluminal benign tumor of esophagus. This slow growing, pedunculated produces late symptoms. The can become very large, >10 cm in length. Symptoms are related to esophageal obstruction and tracheal compression. Hematemesis fatal laryngeal by a regurgitated have been reported.4 vascularity these tumors, their large size, presence stalk attached high cervical esophagus make surgical resection preferable mode resection. Patel et a1. reported excision polyp, with attachment that measured 17 cm. was accomplished through an oblique incision along anterior border left sternocleidomastoid muscle. vessels pedicle be isolated from base individually ligated divided, ensuring complete hemostasis. When more distal, must thoracotomy incision. For patients contraindications thoracotomy, we propose nonoperative alternative: endoscopic neodymium:yttrium-aluminum-garnet (Nd:YAG) laser ablation.
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