Retrograde resection of a giant pedunculated lipoma of the esophagus – first report of successful endoscopic stapler assisted transluminal esophagus tumor resection

Introduction: Giant pedunculated esophageal polyps are rare. They include fibrovascular polyps, hamartomas, lipomas and liposarcoma and may be asymptomatic for a long time and thus attain an enormous size. We present a case of giant esophageal polyp in a 63 year-old man with a short history of difficulty in swallowing. Endoscopic findings: Pedunculated tumor from upper esophageal sphincter to middle of esophageus (12cm) with origin from upper esophageal sphincter. “Flexible“ stenosis of the esophagus (max. 90%). No sign of malignancy, no other lipomas. EUS findings: homogenous tumor, max. transverse thickness di…