Giant leiomyoma of the gastroesophageal junction: technique and results of endoscopic full-thickness resection

• Main Authors: Bona D, Aiolfi A, Siboni S, Bernardi D, Bonavina L
• Format: Article
• Language: English
• Published: Dove Medical Press 2011-11-01
• Series: Clinical and Experimental Gastroenterology
• Online Access: http://www.dovepress.com/giant-leiomyoma-of-the-gastroesophageal-junction-technique-and-results-a8761
• ISSN: 1178-7023

Davide Bona, Alberto Aiolfi, Stefano Siboni, Daniele Bernardi, Luigi BonavinaDepartment of Surgery, IRCCS Policlinico San Donato, University of Milano School of Medicine, Milano, ItalyAbstract: Four consecutive patients with a giant leiomyoma originating from the posterior aspect of the gastroesophageal junction were treated with full-thickness endoscopic retroflex dissection. A complete removal of the lesion was obtained in all cases. No complications were observed except for some degree of air filtration causing symptomatic pneumoperitoneum in one patient. Retroflex endoscopic full-thickness resection of giant leiomyoma at the gastroesophageal junction is feasible and safe.Keywords: gastroesophageal junction, leiomyoma, endoscopic submucosal dissection, pneumoperitoneum