Endoscopic Submucosal Dissection of the Angiolipoma at Hypopharynx-Esophageal Introitus

Angiolipoma in the region of the hypopharynx-esophageal introitus is a rare occurrence. Surgical treatment was performed in the few cases reported in the literature. Endoscopic submucosal dissection (ESD) is a minimally invasive treatment for hypopharyngeal and esophageal lesions. Our objective was...

Full description

Saved in:
Bibliographic Details
Main Authors: Lu Liu, Feng Miao, Hai-Mei Guo, Nuo Li, Shu-Hua Jiao, Shuang Cai, Peng-Liang Liu, Shan-Shan Zhang, Jia Ma, Yang Weng, Ying Sun, Yin-Si Tang, Feng Zhao, Yan Zheng, Shen Zhang, Yan Yang, Yang Yu, Lei Tian, Zhi-Feng Zhao
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2020/3581267
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832566025713876992
author Lu Liu
Feng Miao
Hai-Mei Guo
Nuo Li
Shu-Hua Jiao
Shuang Cai
Peng-Liang Liu
Shan-Shan Zhang
Jia Ma
Yang Weng
Ying Sun
Yin-Si Tang
Feng Zhao
Yan Zheng
Shen Zhang
Yan Yang
Yang Yu
Lei Tian
Zhi-Feng Zhao
author_facet Lu Liu
Feng Miao
Hai-Mei Guo
Nuo Li
Shu-Hua Jiao
Shuang Cai
Peng-Liang Liu
Shan-Shan Zhang
Jia Ma
Yang Weng
Ying Sun
Yin-Si Tang
Feng Zhao
Yan Zheng
Shen Zhang
Yan Yang
Yang Yu
Lei Tian
Zhi-Feng Zhao
author_sort Lu Liu
collection DOAJ
description Angiolipoma in the region of the hypopharynx-esophageal introitus is a rare occurrence. Surgical treatment was performed in the few cases reported in the literature. Endoscopic submucosal dissection (ESD) is a minimally invasive treatment for hypopharyngeal and esophageal lesions. Our objective was to evaluate the feasibility, safety, and efficacy of ESD for treatment of angiolipoma at the hypopharynx-esophageal introitus. The patients with submucosal tumors at the hypopharynx-esophageal introitus were diagnosed as angiolipoma by preoperative evaluation with endoscopy, endoscopic ultrasonography, and computed tomography (CT). The patients who were diagnosed with angiolipoma agreed to undergo endoscopic submucosal dissection. Under general anesthesia and endotracheal intubation, ESD was used to remove the lesions. Preoperative, intraoperative, and postoperative data were collected and analyzed to evaluate the feasibility, safety, and effectiveness of endoscopic submucosal dissection. From January 2013 to December 2018, 6 cases of angiolipoma were treated with ESD with a success rate of 100%. The average operation time was 107.0±69.4 minutes. Intraoperative blood loss is the main risk. Endoscopic thermocoagulation successfully stopped bleeding in all cases. Pharyngeal pain and painful swallowing were the main clinical signs. There was no stricture at the hypopharynx-esophageal introitus after the operation. ESD treatment of angiolipoma at hypopharynx-esophageal introitus is feasible, safe, and effective.
format Article
id doaj-art-d4312eb503f747039d4249e72c85efc2
institution Kabale University
issn 1687-6121
1687-630X
language English
publishDate 2020-01-01
publisher Wiley
record_format Article
series Gastroenterology Research and Practice
spelling doaj-art-d4312eb503f747039d4249e72c85efc22025-02-03T01:05:23ZengWileyGastroenterology Research and Practice1687-61211687-630X2020-01-01202010.1155/2020/35812673581267Endoscopic Submucosal Dissection of the Angiolipoma at Hypopharynx-Esophageal IntroitusLu Liu0Feng Miao1Hai-Mei Guo2Nuo Li3Shu-Hua Jiao4Shuang Cai5Peng-Liang Liu6Shan-Shan Zhang7Jia Ma8Yang Weng9Ying Sun10Yin-Si Tang11Feng Zhao12Yan Zheng13Shen Zhang14Yan Yang15Yang Yu16Lei Tian17Zhi-Feng Zhao18Department of Gastroenterology, The Fourth Affiliated Hospital of China Medical University, Shenyang, 110000 Liaoning Province, ChinaDepartment of Gastroenterology, The Fourth Affiliated Hospital of China Medical University, Shenyang, 110000 Liaoning Province, ChinaDepartment of Gastroenterology, The Fourth Affiliated Hospital of China Medical University, Shenyang, 110000 Liaoning Province, ChinaDepartment of Gastroenterology, The Fourth Affiliated Hospital of China Medical University, Shenyang, 110000 Liaoning Province, ChinaDepartment of Gastroenterology, The Fourth Affiliated Hospital of China Medical University, Shenyang, 110000 Liaoning Province, ChinaDepartment of Gastroenterology, The Fourth Affiliated Hospital of China Medical University, Shenyang, 110000 Liaoning Province, ChinaDepartment of Gastroenterology, The Fourth Affiliated Hospital of China Medical University, Shenyang, 110000 Liaoning Province, ChinaDepartment of Gastroenterology, The Fourth Affiliated Hospital of China Medical University, Shenyang, 110000 Liaoning Province, ChinaDepartment of Gastroenterology, The Fourth Affiliated Hospital of China Medical University, Shenyang, 110000 Liaoning Province, ChinaDepartment of Gastroenterology, The Fourth Affiliated Hospital of China Medical University, Shenyang, 110000 Liaoning Province, ChinaDepartment of Gastroenterology, The Fourth Affiliated Hospital of China Medical University, Shenyang, 110000 Liaoning Province, ChinaDepartment of Gastroenterology, The Fourth Affiliated Hospital of China Medical University, Shenyang, 110000 Liaoning Province, ChinaDepartment of Gastroenterology, The Fourth Affiliated Hospital of China Medical University, Shenyang, 110000 Liaoning Province, ChinaDepartment of Gastroenterology, The Fourth Affiliated Hospital of China Medical University, Shenyang, 110000 Liaoning Province, ChinaDepartment of Gastroenterology, The Fourth Affiliated Hospital of China Medical University, Shenyang, 110000 Liaoning Province, ChinaDepartment of Gastroenterology, The Fourth Affiliated Hospital of China Medical University, Shenyang, 110000 Liaoning Province, ChinaDepartment of Gastroenterology, The Fourth Affiliated Hospital of China Medical University, Shenyang, 110000 Liaoning Province, ChinaDepartment of Gastroenterology, The First Affiliated Hospital of Jinzhou Medical University, Jinzhou, 121001 Liaoning Province, ChinaDepartment of Gastroenterology, The Fourth Affiliated Hospital of China Medical University, Shenyang, 110000 Liaoning Province, ChinaAngiolipoma in the region of the hypopharynx-esophageal introitus is a rare occurrence. Surgical treatment was performed in the few cases reported in the literature. Endoscopic submucosal dissection (ESD) is a minimally invasive treatment for hypopharyngeal and esophageal lesions. Our objective was to evaluate the feasibility, safety, and efficacy of ESD for treatment of angiolipoma at the hypopharynx-esophageal introitus. The patients with submucosal tumors at the hypopharynx-esophageal introitus were diagnosed as angiolipoma by preoperative evaluation with endoscopy, endoscopic ultrasonography, and computed tomography (CT). The patients who were diagnosed with angiolipoma agreed to undergo endoscopic submucosal dissection. Under general anesthesia and endotracheal intubation, ESD was used to remove the lesions. Preoperative, intraoperative, and postoperative data were collected and analyzed to evaluate the feasibility, safety, and effectiveness of endoscopic submucosal dissection. From January 2013 to December 2018, 6 cases of angiolipoma were treated with ESD with a success rate of 100%. The average operation time was 107.0±69.4 minutes. Intraoperative blood loss is the main risk. Endoscopic thermocoagulation successfully stopped bleeding in all cases. Pharyngeal pain and painful swallowing were the main clinical signs. There was no stricture at the hypopharynx-esophageal introitus after the operation. ESD treatment of angiolipoma at hypopharynx-esophageal introitus is feasible, safe, and effective.http://dx.doi.org/10.1155/2020/3581267
spellingShingle Lu Liu
Feng Miao
Hai-Mei Guo
Nuo Li
Shu-Hua Jiao
Shuang Cai
Peng-Liang Liu
Shan-Shan Zhang
Jia Ma
Yang Weng
Ying Sun
Yin-Si Tang
Feng Zhao
Yan Zheng
Shen Zhang
Yan Yang
Yang Yu
Lei Tian
Zhi-Feng Zhao
Endoscopic Submucosal Dissection of the Angiolipoma at Hypopharynx-Esophageal Introitus
Gastroenterology Research and Practice
title Endoscopic Submucosal Dissection of the Angiolipoma at Hypopharynx-Esophageal Introitus
title_full Endoscopic Submucosal Dissection of the Angiolipoma at Hypopharynx-Esophageal Introitus
title_fullStr Endoscopic Submucosal Dissection of the Angiolipoma at Hypopharynx-Esophageal Introitus
title_full_unstemmed Endoscopic Submucosal Dissection of the Angiolipoma at Hypopharynx-Esophageal Introitus
title_short Endoscopic Submucosal Dissection of the Angiolipoma at Hypopharynx-Esophageal Introitus
title_sort endoscopic submucosal dissection of the angiolipoma at hypopharynx esophageal introitus
url http://dx.doi.org/10.1155/2020/3581267
work_keys_str_mv AT luliu endoscopicsubmucosaldissectionoftheangiolipomaathypopharynxesophagealintroitus
AT fengmiao endoscopicsubmucosaldissectionoftheangiolipomaathypopharynxesophagealintroitus
AT haimeiguo endoscopicsubmucosaldissectionoftheangiolipomaathypopharynxesophagealintroitus
AT nuoli endoscopicsubmucosaldissectionoftheangiolipomaathypopharynxesophagealintroitus
AT shuhuajiao endoscopicsubmucosaldissectionoftheangiolipomaathypopharynxesophagealintroitus
AT shuangcai endoscopicsubmucosaldissectionoftheangiolipomaathypopharynxesophagealintroitus
AT pengliangliu endoscopicsubmucosaldissectionoftheangiolipomaathypopharynxesophagealintroitus
AT shanshanzhang endoscopicsubmucosaldissectionoftheangiolipomaathypopharynxesophagealintroitus
AT jiama endoscopicsubmucosaldissectionoftheangiolipomaathypopharynxesophagealintroitus
AT yangweng endoscopicsubmucosaldissectionoftheangiolipomaathypopharynxesophagealintroitus
AT yingsun endoscopicsubmucosaldissectionoftheangiolipomaathypopharynxesophagealintroitus
AT yinsitang endoscopicsubmucosaldissectionoftheangiolipomaathypopharynxesophagealintroitus
AT fengzhao endoscopicsubmucosaldissectionoftheangiolipomaathypopharynxesophagealintroitus
AT yanzheng endoscopicsubmucosaldissectionoftheangiolipomaathypopharynxesophagealintroitus
AT shenzhang endoscopicsubmucosaldissectionoftheangiolipomaathypopharynxesophagealintroitus
AT yanyang endoscopicsubmucosaldissectionoftheangiolipomaathypopharynxesophagealintroitus
AT yangyu endoscopicsubmucosaldissectionoftheangiolipomaathypopharynxesophagealintroitus
AT leitian endoscopicsubmucosaldissectionoftheangiolipomaathypopharynxesophagealintroitus
AT zhifengzhao endoscopicsubmucosaldissectionoftheangiolipomaathypopharynxesophagealintroitus