Endoscopic Approach to Esophageal Leiomyomas: Single Center Results

Abstract

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±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