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Esophageal pyogenic granuloma: endosonographic findings and endoscopic treatments
Hyeog Gyu Seoung1, Gwang Ha Kim, Geun Am Song
1Department of Internal Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.
Abstract:
Pyogenic granuloma is a benign inflammatory vascular lesion, mainly found in the skin and oral mucosa. A few cases of pyogenic granuloma in the gastrointestinal tract have been reported, and the esophagus was the main site in these cases. These patients were diagnosed with pyogenic granuloma after they underwent upper endoscopy and biopsy. Endoscopic resection is a favorable treatment option for esophageal pyogenic granuloma. Recently, we observed characteristic endosonographic findings in two cases with esophageal pyogenic granuloma, which were then treated successfully by endoscopic resection.
Insights
Pyogenic granuloma, a vascular lesion, can occur in the esophagus. Characteristic endosonographic findings aided diagnosis, leading to successful endoscopic resection treatment in two patients.
Area of Science:
- Gastroenterology
- Pathology
- Surgical Oncology
Background:
- Pyogenic granuloma is a benign vascular proliferation typically affecting the skin and oral mucosa.
- Esophageal pyogenic granuloma is rare, often diagnosed via endoscopy and biopsy.
- Endoscopic resection is a recognized treatment for esophageal pyogenic granuloma.
Purpose of the Study:
- To describe characteristic endosonographic findings in esophageal pyogenic granuloma.
- To report successful endoscopic resection of esophageal pyogenic granuloma based on these findings.
Main Methods:
- Case series involving two patients with esophageal pyogenic granuloma.
- Diagnostic procedures included upper endoscopy and endoscopic ultrasound (EUS).
- Treatment involved endoscopic resection.
Main Results:
- Characteristic endosonographic features of esophageal pyogenic granuloma were identified.
- Both patients underwent successful endoscopic resection.
- No complications were reported post-procedure.
Conclusions:
- Endoscopic ultrasound can reveal specific findings for esophageal pyogenic granuloma.
- Endoscopic resection is a safe and effective treatment modality for this condition.
- Early diagnosis and treatment can lead to favorable outcomes.
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