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KMID : 1038120190520020186
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Clinical Endoscopy
2019 Volume.52 No. 2 p.186 ~ p.190
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First Characterization with Ultrasound Contrast Agent of a Fibrovascular Polyp Before Its Endoscopic Resection: A Case Report (with Videos)
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Williet Nicolas
Kassir Radwan
Casteillo Francois
Yvorel Violaine
Habougit Cyril
Roblin Xavier
Phelip Jean-Marc
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Abstract
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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.
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KEYWORD
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Esophageal fibrovascular polyp, Ultrasound endoscopy contrast enhancement, Polypectomy, Microvascularization
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