Post written by Kenji Yamazaki, MD, PhD, from the Department of Gastroenterology, Gifu Prefectural General Medical Center, Gifu, Japan.

We described a case of a giant fibrovascular esophageal polyp endoscopically resected by use of a scissor-type knife. Fibrovascular esophageal polyps are rare, and most of these are enormous and arise from the cricopharynx or upper esophagus. Traditional excision commonly involves transcervical vertical esophagotomy. Endoscopic resection is technically feasible and avoids transcervical vertical esophagotomy-related morbidity.

Some cases of fibrovascular esophageal polyp endoscopically resected using various procedures have been reported. In this case, the polyp was large in size, its pedicle could be clearly visualized. Initially, we attempted polyp resection using an endoscopic snare technique; however, its large size prevented this application. Scissor-type knife facilitates grasping a pedicle and enables the simultaneous excision and coagulation while maintaining a stable view using only a single device. By use of a scissor-type knife, we could resect the giant polyp easily and effortlessly.

We believe that a scissor-type knife offers another endoscopic tool for resecting a giant fibrovascular esophageal polyp. Scissor-type knife enables endoscopists to resect large polyps with their stalk, which, otherwise, is challenging using the snare technique.

Recently, another case of a giant fibrovascular esophageal polyp was just reported in GIE. (Published online DOI: https://doi.org/10.1016/j.gie.2019.09.002)

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