Giant leiomyoma of the gastroesophageal junction: technique and results of endoscopic full-thickness resection
Davide Bona, Alberto Aiolfi, Stefano Siboni, Daniele Bernardi, Luigi Bonavina
Department of Surgery, IRCCS Policlinico San Donato, University of Milano School of Medicine, Milano, Italy
Abstract: 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
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