Faculty Collaboration Database

Transgastric laparoscopic resection of a giant esophageal lipoma. Surg Laparosc Endosc Percutan Tech 2005 Jun;15(3):160-2

Date

06/16/2005

Pubmed ID

15956901

DOI

10.1097/01.sle.0000166966.49274.83

Scopus ID

2-s2.0-20844439393 (requires institutional sign-in at Scopus site)   14 Citations

Abstract

We present an unusual case of a giant, pedunculated esophageal lipoma originating in the mid-esophagus ball-valving through the gastroesophageal junction resulting in intermittent obstruction and hemorrhage. Endoscopic ultrasonography revealed a 1 cm in diameter vessel in the stalk of the polyp, and endoscopic resection was not performed. Transgastric laparoscopic resection with endoscopic guidance was successfully performed using 2 balloon-tipped laparoscopic trocars inserted laparoscopically into the gastric lumen through separate gastrotomies. Intraoperative esophagoscopy confirmed proper port placement and the exact location of the mass. Under direct visualization, a Snowden-Pencer grasper was used to pull the polyp down into the stomach and an Endo-GIA blue articulating stapler was used to transect its stalk. The polyp was retrieved via an endopouch placed through the intragastric laparoscopic port. We conclude that transgastric laparoscopy should be considered for the resection of a variety of pedunculated esophageal lesions when the use of standard endoscopic techniques is not possible.

Author List

Weigel TL, Schwartz DC, Gould JC, Pfau PR

Author

Jon Gould MD Chief, Professor in the Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Digestive System Surgical Procedures
Endosonography
Esophageal Neoplasms
Humans
Laparoscopy
Lipoma
Male
Middle Aged