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Complete excision of esophageal bronchogenic cyst by endoscopic submucosal tunnel dissection: a case presentation

BACKGROUND: Intramural esophageal bronchogenic cyst is very rare. Surgical removal of the cysts is advised even the patients are asymptomatic, since the cyst can lead to complications, and there is a risk of malignant transformation. Thoracotomy or thoracoscopy is the most commonly used approach for...

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Autores principales: Yang, Xun, Zong, Ye, Zhao, Hai-Ying, Wu, Yong-Dong, Ji, Ming
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6714396/
https://www.ncbi.nlm.nih.gov/pubmed/31462259
http://dx.doi.org/10.1186/s12876-019-1072-3
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author Yang, Xun
Zong, Ye
Zhao, Hai-Ying
Wu, Yong-Dong
Ji, Ming
author_facet Yang, Xun
Zong, Ye
Zhao, Hai-Ying
Wu, Yong-Dong
Ji, Ming
author_sort Yang, Xun
collection PubMed
description BACKGROUND: Intramural esophageal bronchogenic cyst is very rare. Surgical removal of the cysts is advised even the patients are asymptomatic, since the cyst can lead to complications, and there is a risk of malignant transformation. Thoracotomy or thoracoscopy is the most commonly used approach for complete excision of the cysts. To our knowledge, this is the first report to excise intramural esophageal bronchogenic cyst completely by endoscopic submucosal tunnel dissection (ESTD). CASE PRESENTATION: A 40-year-old male was referred to our hospital due to the detection of a submucosal tumor at the distal esophagus. The tumor was found during gastroendoscopy in a general health check-up. The patient had no symptoms. A benign esophageal tumor was confirmed by endoscopic ultrasonography (EUS) and computed tomography (CT). On the basis of these results, ESTD was performed. During the procedure, a cystic mass was observed between the mucosa and the muscular layers of the esophagus, and a hybrid knife was used for dissection. Histopathological examination showed the cyst wall was lined by pseudostratified ciliated columnar epithelium, consistent with a bronchogenic cyst. The esophagography using meglumine diatrizoate showed no leakage on the seventh day after ESTD. The patient remained asymptomatic and had a regular diet during the follow-up period. DISCUSSION AND CONCLUSIONS: We successfully utilized ESTD for complete removal of esophageal bronchogenic cysts originating from the muscularis propria. The approach appeared safe, providing a minimally invasive treatment option for patients.
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spelling pubmed-67143962019-09-04 Complete excision of esophageal bronchogenic cyst by endoscopic submucosal tunnel dissection: a case presentation Yang, Xun Zong, Ye Zhao, Hai-Ying Wu, Yong-Dong Ji, Ming BMC Gastroenterol Case Report BACKGROUND: Intramural esophageal bronchogenic cyst is very rare. Surgical removal of the cysts is advised even the patients are asymptomatic, since the cyst can lead to complications, and there is a risk of malignant transformation. Thoracotomy or thoracoscopy is the most commonly used approach for complete excision of the cysts. To our knowledge, this is the first report to excise intramural esophageal bronchogenic cyst completely by endoscopic submucosal tunnel dissection (ESTD). CASE PRESENTATION: A 40-year-old male was referred to our hospital due to the detection of a submucosal tumor at the distal esophagus. The tumor was found during gastroendoscopy in a general health check-up. The patient had no symptoms. A benign esophageal tumor was confirmed by endoscopic ultrasonography (EUS) and computed tomography (CT). On the basis of these results, ESTD was performed. During the procedure, a cystic mass was observed between the mucosa and the muscular layers of the esophagus, and a hybrid knife was used for dissection. Histopathological examination showed the cyst wall was lined by pseudostratified ciliated columnar epithelium, consistent with a bronchogenic cyst. The esophagography using meglumine diatrizoate showed no leakage on the seventh day after ESTD. The patient remained asymptomatic and had a regular diet during the follow-up period. DISCUSSION AND CONCLUSIONS: We successfully utilized ESTD for complete removal of esophageal bronchogenic cysts originating from the muscularis propria. The approach appeared safe, providing a minimally invasive treatment option for patients. BioMed Central 2019-08-28 /pmc/articles/PMC6714396/ /pubmed/31462259 http://dx.doi.org/10.1186/s12876-019-1072-3 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Yang, Xun
Zong, Ye
Zhao, Hai-Ying
Wu, Yong-Dong
Ji, Ming
Complete excision of esophageal bronchogenic cyst by endoscopic submucosal tunnel dissection: a case presentation
title Complete excision of esophageal bronchogenic cyst by endoscopic submucosal tunnel dissection: a case presentation
title_full Complete excision of esophageal bronchogenic cyst by endoscopic submucosal tunnel dissection: a case presentation
title_fullStr Complete excision of esophageal bronchogenic cyst by endoscopic submucosal tunnel dissection: a case presentation
title_full_unstemmed Complete excision of esophageal bronchogenic cyst by endoscopic submucosal tunnel dissection: a case presentation
title_short Complete excision of esophageal bronchogenic cyst by endoscopic submucosal tunnel dissection: a case presentation
title_sort complete excision of esophageal bronchogenic cyst by endoscopic submucosal tunnel dissection: a case presentation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6714396/
https://www.ncbi.nlm.nih.gov/pubmed/31462259
http://dx.doi.org/10.1186/s12876-019-1072-3
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