Endoscopic Approach to Esophageal Leiomyomas: Single Center Results/Ozofagus Leyomiyomlarinda Endoskopik Yaklasim: Tek Merkez Sonuclari

• Published in: İstanbul Medical Journal Vol. 21; no. 1; p. 33
• Main Authors: Cakar, Ekrem, Idiz, Ufuk Oguz, Colak, Sukru, Guneyi, Ayhan, Yarikkaya, Enver, Bektas, Hasan
• Format: Journal Article
• Language: English
• Published: Galenos Yayinevi Tic. Ltd 01.01.2020
• Subjects: Care and treatment; Deglutition disorders; Endoscopy; Ultrasound imaging
• ISSN: 2619-9793
• DOI: 10.4274/imj.galenos.2019.48992

Introduction: Leiomyoma is the most common esophageal benign lesion. There are many treatment methods from endoscopic treatment methods to surgery in the treatment of leiomyoma. In this study, we evaluated the results of our patients who underwent endoscopic mucosal (EMR) and submucosal dissection (ESD) due to esophageal leiomyoma. Methods: A total of 18 patients who underwent EMR or ESD protocol with the diagnosis of esophageal leiomyoma were included in the study and age, gender, radiological imaging results, endoscopic ultrasonography results, treatment method, pathology results, and outpatient follow-up data of the patients were recorded following retrospective examination of the patient files. Results: The mean age of the patients was 52.7[+ or -]13.36 years, and the ratio of female/male was 1/1.25. Incidental lesions were found during endoscopic procedures in six patients (33.3%) due to dyspeptic complaints and in three patients (16.7%) due to dysphagia and during computed tomography in the remaining nine patients (50%) for various reasons. For treatment, three patients underwent EMR, and 15 patients underwent ESD. One patient had a hemorrhage controlled by endoscopic intervention, and no other complications were observed after treatment. Conclusion: It should be kept in mind that ESD and EMR, which are among the endoscopic treatment methods in the treatment of esophageal leiomyoma, could be safely applied in experienced hands. Keywords: Esophagus, leiomyoma, endoscopic mucosal resection, endoscopic submucosal dissection Amac: En sik gozlenen ozofagus benign lezyonlari leiomiyomlardir. Leiomiyomlarin tedavisinde endoskopik tedavi yontemlerinden cerrahiye kadar bircok tedavi yontemi bulunmaktadir. Biz de bu calismamizda ozofagus leiomiyomu sebebiyle endoskopik mukozal (EMR) ve submukozal rezeksiyon (ESD) yapilan hastalarimizin sonuclarini degerlendirdik. Yontemler: Ozofageal leiomiyom tanisi ile EMR veya ESD protokolu uygulanan toplam 18 hasta calismaya dahil edilmis olup hastalarin hastane dosyalarinin retrospektif olarak incelenmesi sonucunda hastalarin yaslari, cinsiyetleri, radyolojik goruntuleme sonuclari, endoskopik ultrasonografi sonuclari, uygulanan tedavi yontemi, patoloji sonuclari ve hastalarin poliklinik takip notlari kayit altina alinmistir. Bulgular: Hastalarin ortalama yasi 52,7[+ or -]13,36 yil olup kadin/ erkek orani 1/1,25'tir. Hastalarin 6'sinda (%33,3) dispeptik sikayetler nedeniyle yapilan tetkiklerde, 3'unde (%16,7) disfaji nedeniyle yapilan endoskopik girisimler sirasinda, diger 9 hastada (%50) ise cesitli sebeplerle cekilen bilgisayarli tomografiler sirasinda insidental olarak lezyonlar bulunmustur. Tedavi icin 3 hastaya EMR, 15 hastaya ise ESD uygulanmistir. Tedavi sonrasi 1 hastada endoskopik mudahale ile durdurulan kanama mevcut olup baska bir komplikasyon gozlenmemistir. Sonuc: Ozofagus leiomiyomlarinin tedavisinde endoskopik tedavi yontemlerinden olan ESD ve EMR'nin tecrubeli ellerde guvenle uygulanabilecegi akilda bulundurulmalidir. Anahtar Kelimeler: Ozofagus, leiomiyom, endoskopik mukozal rezeksiyon, endoskopik submukozal rezeksiyon