UGI Esophagus-SUCCESSFUL REMOVAL OF A GIANT ESOPHAGEAL LIPOMA BY ENDOSCOPIC SUBMUCOSAL DISSECTION (ESD)

SUCCESSFUL REMOVAL OF A GIANT ESOPHAGEAL LIPOMA BY ENDOSCOPIC SUBMUCOSAL DISSECTION (ESD)

Video Transcription

Video Summary

In this video, the successful removal of a giant esophageal lipoma using endoscopic submucosal dissection (ESD) is demonstrated. The patient, a 47-year-old male, presented with dysphagia and weight loss. EGD and a chest CT confirmed the presence of a large lipoma in the esophagus. A multidisciplinary team decided to perform ESD for its removal. The lipoma, approximately 7 centimeters in length, was resected using a combination of ESD and piecemeal resection with a braided snare. The mucosal defect was closed using both hemoclip application and endoscopic suturing. Follow-up tests showed complete resolution of the defect with no narrowing of the esophageal lumen. The case exemplifies ESD as a safe and effective alternative to surgical removal for large esophageal lipomas. Primary author: Dr. Ahmed Mohamed El-Maligoui.

Asset Subtitle

Honorable Mention

Keywords

endoscopic submucosal dissection

giant esophageal lipoma

dysphagia

weight loss

ESD