We described for the first time the contrast enhancement of a giant fibrovascular esophageal polyp using ultrasound contrast agent, Sonovue® (Bracco, Milan, Italy) during echoendoscopy. Fine Doppler was unsuccessful in showing vascularization due to the mobile characteristic of the tumor. In contrast, via Sonovue® , tissue microcirculation was highlighted inside the entire head of the polyp, leading to better appreciate the risk of bleeding related to its resection. In a second part, we showed the feasibility of classic polypectomy for this giant polyp (5×5 cm) without complication and results of control endoscopy at 3 months. The present case is summarized in a video.
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Hybrid laparo-endoscopic access: New approach to surgical treatment for giant fibrovascular polyp of esophagus: A case report and review of literature Seda Dzhantukhanova, Lyudmila Grigori Avetisyan, Amina Badakhova, Yury Starkov, Andrey Glotov World Journal of Gastrointestinal Endoscopy.2023; 15(11): 666. CrossRef
Hybrid laparo-endoscopic access for giant fibrovascular esophageal polyp: a case report Yu.G. Starkov, S.V. Dzhantukhanova, R.D. Zamolodchikov, A.B. Badakhova Khirurgiya. Zhurnal im. N.I. Pirogova.2023; (11): 123. CrossRef