First Characterization with Ultrasound Contrast Agent of a Fibrovascular Polyp Before Its Endoscopic Resection: A Case Report (with Videos)

We described for the first time the contrast enhancement of a giant fibrovascular esophageal polyp using ultrasound contrast agent, Sonovue® (Bracco, Milan, Italy) during echoendoscopy. Fine Doppler was unsuccessful in showing vascularization due to the mobile characteristic of the tumor. In contras...

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Bibliographic Details
Main Authors: Nicolas Williet (Author), Radwan Kassir (Author), Francois Casteillo (Author), Violaine Yvorel (Author), Cyril Habougit (Author), Xavier Roblin (Author), Jean-Marc Phelip (Author)
Format: Book
Published: Korean Society of Gastrointestinal Endoscopy, 2019-03-01T00:00:00Z.
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Summary:We described for the first time the contrast enhancement of a giant fibrovascular esophageal polyp using ultrasound contrast agent, Sonovue® (Bracco, Milan, Italy) during echoendoscopy. Fine Doppler was unsuccessful in showing vascularization due to the mobile characteristic of the tumor. In contrast, via Sonovue®, tissue microcirculation was highlighted inside the entire head of the polyp, leading to better appreciate the risk of bleeding related to its resection. In a second part, we showed the feasibility of classic polypectomy for this giant polyp (5×5 cm) without complication and results of control endoscopy at 3 months. The present case is summarized in a video.
Item Description:2234-2400
2234-2443
10.5946/ce.2018.083