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First Characterization with Ultrasound Contrast Agent of a Fibrovascular Polyp Before Its Endoscopic Resection: A Case Report (with Videos)

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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 mobilecharacteristic 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 polypectomyfor this giant polyp (5×5 cm) without complication and results of control endoscopy at 3 months. The present case is summarized in avideo.

Abstract

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 mobilecharacteristic 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 polypectomyfor this giant polyp (5×5 cm) without complication and results of control endoscopy at 3 months. The present case is summarized in avideo.

참고문헌 (10)

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  10. Lorenzo D, "Endoscopic resection of a giant esophageal fibrovascular polyp", Endoscopy, 48(Suppl 1), pp.E69~E70 (2016)

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